Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $1,716.00 / $8,229.00	Facility		$416.00	$1,716.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.00 / $2,747.00 / $8,229.00	Professional		$988.00	$2,747.00	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$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 $1,447.88 / $1,842.75 / $11,122.78	Facility		$1,447.88	$1,842.75	$11,122.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,417.50 / $31,049.69	Professional		$1,050.00	$1,417.50	$31,049.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,365.04 / $2,365.04 / $2,365.04	Professional		$2,365.04	$2,365.04	$2,365.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $731.25 / $937.50 / $1,316.25	Professional		$731.25	$937.50	$1,316.25
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00