Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,562.00 / $5,969.00 / $12,902.00	Facility		$3,562.00	$5,969.00	$12,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.80 / $268.80 / $2,622.00	Professional		$268.80	$268.80	$2,622.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,733.69 / $9,156.52	Facility		$814.00	$3,733.69	$9,156.52
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 $74,999.25 / $74,999.25 / $119,998.80	Facility		$74,999.25	$74,999.25	$119,998.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69,861.80 / $69,861.80 / $69,861.80	Professional		$69,861.80	$69,861.80	$69,861.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,852.00	Facility		$400.00	$703.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $13,697.00 / $13,697.00	Professional		$1,400.00	$13,697.00	$13,697.00
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00