Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,495.00 / $8,229.00	Facility		$637.00	$2,495.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $634.00 / $8,229.00	Professional		$526.00	$634.00	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
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 $11,936.28 / $37,799.62 / $40,499.60	Facility		$11,936.28	$37,799.62	$40,499.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27,999.72 / $31,049.69 / $37,799.62	Professional		$27,999.72	$31,049.69	$37,799.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.64 / $1,573.64 / $1,573.64	Professional		$1,573.64	$1,573.64	$1,573.64
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 $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00