Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,844.00 / $2,952.00 / $16,012.80	Facility		$2,844.00	$2,952.00	$16,012.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,520.00 / $2,880.00 / $3,600.00	Professional		$2,520.00	$2,880.00	$3,600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $1,440.00	Facility		$1,440.00	$1,440.00	$1,440.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,440.00 / $1,440.00	Professional		$1,224.00	$1,440.00	$1,440.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,320.00 / $41,999.58 / $90,720.00	Facility		$4,320.00	$41,999.58	$90,720.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,140.00 / $5,040.00 / $66,771.82	Professional		$4,140.00	$5,040.00	$66,771.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $2,801.16 / $4,750.20	Facility		$2,340.00	$2,801.16	$4,750.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,177.97 / $17,352.00 / $17,352.00	Professional		$4,177.97	$17,352.00	$17,352.00
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 $1,512.00 / $2,160.00 / $3,960.00	Professional		$1,512.00	$2,160.00	$3,960.00