Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $1,875.90 / $8,229.00	Facility		$416.00	$1,875.90	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.35 / $358.00 / $3,740.00	Professional		$148.35	$358.00	$3,740.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,128.00 / $8,584.00 / $11,253.00	Facility		$4,128.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $965.25 / $1,228.50 / $1,667.25	Facility		$965.25	$1,228.50	$1,667.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $945.00 / $31,049.69	Professional		$700.00	$945.00	$31,049.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.36 / $910.36 / $910.36	Professional		$910.36	$910.36	$910.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $625.00 / $877.50	Professional		$487.50	$625.00	$877.50
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00