Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $8,956.00 / $11,627.00	Facility		$56.50	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $61.72	Professional		$56.50	$56.50	$61.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.06 / $527.13 / $939.20	Professional		$400.06	$527.13	$939.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.29 / $697.48 / $13,683.86	Facility		$46.29	$697.48	$13,683.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $724.30 / $1,278.18	Professional		$48.29	$724.30	$1,278.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $65.51 / $125.80	Professional		$32.17	$65.51	$125.80