Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $370.91	Facility		$174.10	$174.10	$370.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $174.10 / $253.70	Professional		$89.88	$174.10	$253.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $650.00 / $650.00	Professional		$520.00	$650.00	$650.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.40 / $437.40 / $612.36	Facility		$437.40	$437.40	$612.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $453.60 / $503.01 / $673.60	Professional		$453.60	$503.01	$673.60
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 $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00