Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $20,417.38	Facility		$6,918.31	$11,481.54	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,309.57 / $7,244.36	Professional		$4,570.88	$6,309.57	$7,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.30 / $208.93	Professional		$10.47	$12.30	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $56,234.13 / $213,796.21	Facility		$10,000.00	$56,234.13	$213,796.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,748.98 / $158,489.32	Professional		$9,332.54	$11,748.98	$158,489.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $13,489.63 / $13,489.63	Facility		$5,495.41	$13,489.63	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $40,738.03 / $40,738.03	Professional		$9,772.37	$40,738.03	$40,738.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $5,128.61	Professional		$2,187.76	$2,187.76	$5,128.61