Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,897.79 / $8,709.64	Facility		$2,951.21	$4,897.79	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $3,467.37	Professional		$2,398.83	$2,884.03	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,445.44	Professional		$1,230.27	$1,445.44	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $46,773.51 / $91,201.08	Facility		$4,265.80	$46,773.51	$91,201.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $66,069.34	Professional		$3,981.07	$5,011.87	$66,069.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,754.40 / $5,754.40	Facility		$2,344.23	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Professional		$17,378.01	$17,378.01	$17,378.01
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 $1,513.56 / $2,137.96 / $3,630.78	Professional		$1,513.56	$2,137.96	$3,630.78