Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,490.25 / $8,229.00	Facility		$787.00	$1,490.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,056.38 / $1,886.39 / $6,061.61	Professional		$1,056.38	$1,886.39	$6,061.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $5,350.00 / $5,944.00	Facility		$4,755.00	$5,350.00	$5,944.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.46 / $618.72 / $846.77	Professional		$491.46	$618.72	$846.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,421.43 / $110,206.60 / $227,782.70	Facility		$10,421.43	$110,206.60	$227,782.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,560.45 / $75,599.24 / $234,482.22	Professional		$8,560.45	$75,599.24	$234,482.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,138.18 / $9,138.18 / $9,138.18	Facility		$9,138.18	$9,138.18	$9,138.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38,296.19 / $38,296.19 / $38,296.19	Professional		$38,296.19	$38,296.19	$38,296.19
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 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.32 / $1,647.30 / $2,615.92	Professional		$1,058.32	$1,647.30	$2,615.92