Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,679.00 / $2,989.00 / $11,581.00	Facility		$1,679.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $9,504.00	Professional		$350.00	$350.00	$9,504.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $7,313.00 / $17,584.00	Facility		$1,093.00	$7,313.00	$17,584.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $438.75 / $526.50 / $32,999.67	Facility		$438.75	$526.50	$32,999.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104,998.95 / $104,998.95 / $104,998.95	Professional		$104,998.95	$104,998.95	$104,998.95
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 $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00