Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $6,688.43 / $18,097.74	Facility		$860.00	$6,688.43	$18,097.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.40 / $1,811.20 / $4,568.00	Professional		$974.40	$1,811.20	$4,568.00
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 $37,799.62 / $85,049.15 / $115,423.80	Facility		$37,799.62	$85,049.15	$115,423.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29,999.70 / $67,499.33 / $97,199.03	Professional		$29,999.70	$67,499.33	$97,199.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,004.79 / $4,004.79 / $4,004.79	Professional		$4,004.79	$4,004.79	$4,004.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $65.00	Professional		$45.00	$45.00	$65.00
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