Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $2,747.00 / $8,229.00	Facility		$787.00	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.78 / $1,376.54 / $1,830.33	Professional		$975.78	$1,376.54	$1,830.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,032.35 / $2,391.00 / $3,320.26	Professional		$2,032.35	$2,391.00	$3,320.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,833.71 / $24,446.73 / $48,999.51	Facility		$1,833.71	$24,446.73	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,235.13 / $22,554.63 / $41,258.39	Professional		$1,235.13	$22,554.63	$41,258.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,763.65 / $1,763.65 / $1,763.65	Facility		$1,763.65	$1,763.65	$1,763.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,527.00 / $5,527.00 / $5,527.00	Professional		$5,527.00	$5,527.00	$5,527.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,852.70 / $2,799.83 / $3,879.88	Professional		$1,852.70	$2,799.83	$3,879.88