Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.46 / $1,134.23 / $10,647.00	Facility		$620.46	$1,134.23	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.46 / $1,107.96 / $1,184.40	Professional		$620.46	$1,107.96	$1,184.40
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 $666.97 / $784.68 / $864.80	Professional		$666.97	$784.68	$864.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,472.49 / $21,147.48 / $47,249.53	Facility		$1,472.49	$21,147.48	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,462.05 / $18,774.25 / $33,131.06	Professional		$1,462.05	$18,774.25	$33,131.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,373.00 / $1,373.00 / $1,373.00	Facility		$1,373.00	$1,373.00	$1,373.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,751.51 / $5,751.51 / $5,751.51	Professional		$5,751.51	$5,751.51	$5,751.51
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,193.41 / $1,954.62 / $2,429.65	Professional		$1,193.41	$1,954.62	$2,429.65