Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,052.08	Facility		$687.10	$1,052.08	$1,052.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $1,052.08 / $2,159.84	Professional		$687.10	$1,052.08	$2,159.84
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 $1,037.15 / $1,037.15 / $1,452.01	Facility		$1,037.15	$1,037.15	$1,452.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,075.56 / $1,192.72 / $1,597.21	Professional		$1,075.56	$1,192.72	$1,597.21
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 $1,056.61 / $1,056.61 / $1,056.61	Professional		$1,056.61	$1,056.61	$1,056.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00