Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $3,401.00 / $10,268.00	Facility		$306.73	$3,401.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $1,000.00 / $2,955.89	Professional		$91.02	$1,000.00	$2,955.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $195.53 / $382.85	Professional		$117.04	$195.53	$382.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.41 / $1,464.87 / $11,374.89	Facility		$115.41	$1,464.87	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,749.17 / $86,237.55 / $152,183.91	Professional		$5,749.17	$86,237.55	$152,183.91
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 $4,609.56 / $6,213.10 / $9,055.26	Professional		$4,609.56	$6,213.10	$9,055.26
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,651.17 / $2,274.13 / $4,043.01	Professional		$1,651.17	$2,274.13	$4,043.01