Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.73 / $114.73 / $114.73	Facility		$114.73	$114.73	$114.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $114.73 / $114.73	Professional		$56.40	$114.73	$114.73
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 $128.25 / $128.25 / $179.55	Facility		$128.25	$128.25	$179.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $147.49 / $197.51	Professional		$133.00	$147.49	$197.51
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 $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00