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 / $6,407.46	Professional		$1,987.50	$1,987.50	$6,407.46
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 $3,213.00 / $3,855.60 / $5,599.90	Professional		$3,213.00	$3,855.60	$5,599.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,911.64 / $6,876.29 / $53,899.46	Facility		$4,911.64	$6,876.29	$53,899.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,093.55 / $5,648.38 / $6,876.29	Professional		$5,093.55	$5,648.38	$6,876.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $5,266.54 / $5,266.54	Professional		$469.00	$5,266.54	$5,266.54
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