Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,630.78 / $10,471.29	Facility		$1,659.59	$3,630.78	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,513.56 / $5,128.61	Professional		$169.82	$1,513.56	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $9,549.93	Facility		$2,630.27	$4,073.80	$9,549.93
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
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