Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $585.04	Facility		$585.04	$585.04	$585.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.04 / $585.04 / $1,771.57	Professional		$585.04	$585.04	$1,771.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $30.00 / $30.00	Professional		$25.50	$30.00	$30.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.83 / $926.83 / $1,297.56	Facility		$926.83	$926.83	$1,297.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $961.16 / $1,065.84 / $1,427.32	Professional		$961.16	$1,065.84	$1,427.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.87 / $603.87 / $603.87	Facility		$603.87	$603.87	$603.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.73 / $1,000.73 / $1,000.73	Professional		$1,000.73	$1,000.73	$1,000.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00