Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $973.77	Facility		$973.77	$973.77	$973.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $3,822.00	Professional		$973.77	$973.77	$3,822.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.00 / $30.00	Professional		$24.00	$30.00	$30.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,664.93 / $2,664.93 / $3,730.90	Facility		$2,664.93	$2,664.93	$3,730.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,763.63 / $3,064.67 / $4,103.99	Professional		$2,763.63	$3,064.67	$4,103.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.74 / $644.74 / $644.74	Facility		$644.74	$644.74	$644.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $175.99 / $175.99	Professional		$175.99	$175.99	$175.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00