Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $9,504.00 / $11,679.00	Facility		$3,696.00	$9,504.00	$11,679.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,014.00 / $9,534.00 / $12,565.00	Professional		$5,014.00	$9,534.00	$12,565.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.42 / $455.20 / $723.66	Professional		$392.42	$455.20	$723.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,374.89 / $45,499.55 / $68,249.33	Facility		$11,374.89	$45,499.55	$68,249.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52,499.48 / $70,874.30 / $74,999.25	Professional		$52,499.48	$70,874.30	$74,999.25
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 $50.00 / $60.00 / $60.00	Professional		$50.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00