Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,107.00 / $13,304.00	Facility		$860.00	$3,107.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,917.56 / $6,937.27 / $10,011.87	Professional		$4,917.56	$6,937.27	$10,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,496.00 / $10,683.00 / $11,870.00	Facility		$9,496.00	$10,683.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.70 / $371.58 / $520.61	Professional		$299.70	$371.58	$520.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,593.49 / $164,176.70 / $328,353.30	Facility		$14,593.49	$164,176.70	$328,353.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11,635.75 / $53,276.17 / $338,010.75	Professional		$11,635.75	$53,276.17	$338,010.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,420.94 / $12,420.94 / $12,420.94	Facility		$12,420.94	$12,420.94	$12,420.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39,219.18 / $39,219.18 / $39,219.18	Professional		$39,219.18	$39,219.18	$39,219.18
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 $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.84 / $1,019.49 / $1,703.74	Professional		$705.84	$1,019.49	$1,703.74