Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $45.60 / $57.00	Facility		$45.60	$45.60	$57.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $45.60 / $57.00	Professional		$45.60	$45.60	$57.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.79 / $1,142.74 / $1,142.74	Professional		$1,069.79	$1,142.74	$1,142.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,416.64 / $1,983.29 / $53,899.46	Facility		$1,416.64	$1,983.29	$53,899.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,469.10 / $1,629.13 / $2,181.62	Professional		$1,469.10	$1,629.13	$2,181.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00