Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,987.50 / $8,229.00	Facility		$860.00	$1,987.50	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $3,465.19	Professional		$1,987.50	$1,987.50	$3,465.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.07 / $740.47 / $1,083.44	Professional		$611.07	$740.47	$1,083.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,999.73 / $37,799.62 / $53,899.46	Facility		$26,999.73	$37,799.62	$53,899.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27,999.72 / $31,049.69 / $37,799.62	Professional		$27,999.72	$31,049.69	$37,799.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $108.34 / $469.00	Professional		$108.34	$108.34	$469.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00