Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $1,108.30	Facility		$617.41	$617.41	$1,108.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $617.41 / $617.41	Professional		$15.00	$617.41	$617.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $500.00 / $500.00	Professional		$425.00	$500.00	$500.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,237.23 / $1,732.12 / $1,732.13	Facility		$1,237.23	$1,732.12	$1,732.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,283.06 / $1,422.82 / $1,905.34	Professional		$1,283.06	$1,422.82	$1,905.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.63 / $744.63 / $744.63	Professional		$744.63	$744.63	$744.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00