Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $2,528.00 / $10,152.00	Facility		$896.00	$2,528.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,193.63	Professional		$1,085.10	$1,085.11	$1,193.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,988.00	Facility		$2,088.00	$3,967.00	$8,988.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $820.32 / $889.64	Professional		$0.02	$820.32	$889.64
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 $3,562.26 / $3,562.26 / $3,562.26	Professional		$3,562.26	$3,562.26	$3,562.26
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