Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $3,162.28	Professional		$1,258.93	$1,412.54	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,715.19 / $11,220.18	Facility		$5,128.61	$10,715.19	$11,220.18
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 $60,255.96 / $81,283.05 / $107,151.93	Facility		$60,255.96	$81,283.05	$107,151.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60,255.96 / $72,443.60 / $87,096.36	Professional		$60,255.96	$72,443.60	$87,096.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $67.61	Professional		$35.48	$44.67	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,168.69 / $30,199.52	Facility		$407.38	$4,168.69	$30,199.52