Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,875.00 / $8,229.00	Facility		$860.00	$1,875.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $5,548.78	Professional		$1,875.00	$1,875.00	$5,548.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,448.00 / $2,928.96 / $4,266.60	Professional		$2,448.00	$2,928.96	$4,266.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,999.73 / $37,799.62 / $53,899.46	Facility		$26,999.73	$37,799.62	$53,899.46
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 $469.00 / $6,588.36 / $6,588.36	Professional		$469.00	$6,588.36	$6,588.36
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