Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $630.00 / $630.00	Facility		$630.00	$630.00	$630.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $630.00 / $630.00	Professional		$630.00	$630.00	$630.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $1.00 / $1.00	Professional		$0.75	$1.00	$1.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53,899.46 / $53,899.46 / $61,249.39	Facility		$53,899.46	$53,899.46	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $1,051.59 / $1,051.59	Facility		$64.00	$1,051.59	$1,051.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.86 / $893.86 / $1,051.59	Professional		$893.86	$893.86	$1,051.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00