Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,758.00 / $8,229.00	Facility		$637.00	$1,758.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,820.00 / $2,843.00 / $8,229.00	Professional		$1,820.00	$2,843.00	$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 / $16,085.66 / $66,149.34	Facility		$11,936.28	$16,085.66	$66,149.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48,999.51 / $54,336.96 / $66,149.34	Professional		$48,999.51	$54,336.96	$66,149.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,833.66 / $5,833.66 / $5,833.66	Professional		$5,833.66	$5,833.66	$5,833.66
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00