Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $36.01 / $36.01	Facility		$36.01	$36.01	$36.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $36.01 / $38.78	Professional		$36.01	$36.01	$38.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $22.50 / $22.50	Professional		$0.02	$22.50	$22.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.25 / $94.50 / $123.75	Facility		$74.25	$94.50	$123.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $111.38 / $88,086.62	Professional		$70.00	$111.38	$88,086.62
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 $63.98 / $63.98 / $63.98	Professional		$63.98	$63.98	$63.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $67.50	Professional		$30.00	$50.00	$67.50