Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,630.27 / $8,511.38	Facility		$794.33	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $707.95 / $1,698.24	Professional		$158.49	$707.95	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,025.60 / $21,877.62	Facility		$2,754.23	$6,025.60	$21,877.62
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 $724.44 / $2,511.89 / $10,000.00	Facility		$724.44	$2,511.89	$10,000.00