Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,971.00 / $11,581.00	Facility		$1,486.00	$3,971.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,180.00 / $30,285.00	Facility		$2,777.00	$7,180.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,400.51 / $1,832.84 / $2,777.95	Professional		$1,400.51	$1,832.84	$2,777.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,279.93 / $41,999.58 / $68,249.33	Facility		$7,279.93	$41,999.58	$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 $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,455.00 / $8,448.00 / $13,382.00	Facility		$3,455.00	$8,448.00	$13,382.00