Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $3,267.06 / $9,741.92	Facility		$787.00	$3,267.06	$9,741.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,267.06 / $5,834.04 / $6,563.99	Professional		$3,267.06	$5,834.04	$6,563.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $5,350.00 / $5,944.00	Facility		$4,755.00	$5,350.00	$5,944.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.10 / $13,949.07 / $15,373.28	Professional		$779.10	$13,949.07	$15,373.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,725.57 / $55,999.44 / $105,571.30	Facility		$4,725.57	$55,999.44	$105,571.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,692.06 / $70,380.87 / $105,571.31	Professional		$4,692.06	$70,380.87	$105,571.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,919.51 / $6,919.51 / $6,919.51	Facility		$6,919.51	$6,919.51	$6,919.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34,443.67 / $34,443.67 / $34,443.67	Professional		$34,443.67	$34,443.67	$34,443.67
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 $9,869.17 / $15,175.05 / $20,111.36	Professional		$9,869.17	$15,175.05	$20,111.36