Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $900.00 / $900.00	Facility		$750.00	$900.00	$900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.24 / $575.28 / $900.00	Professional		$566.24	$575.28	$900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $288.01 / $810.05	Professional		$250.00	$288.01	$810.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.69 / $168.75 / $295.31	Facility		$109.69	$168.75	$295.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $202.50 / $270.00	Professional		$160.31	$202.50	$270.00
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 $409.64 / $409.64 / $409.64	Professional		$409.64	$409.64	$409.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $130.00 / $168.75	Professional		$93.75	$130.00	$168.75