Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,598.05 / $5,706.00 / $11,581.00	Facility		$2,598.05	$5,706.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $705.03 / $9,504.00	Professional		$425.00	$705.03	$9,504.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,616.00 / $25,522.00	Facility		$2,291.00	$4,616.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57,749.42 / $57,749.42 / $86,624.13	Facility		$57,749.42	$57,749.42	$86,624.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104,998.95 / $104,998.95 / $104,998.95	Professional		$104,998.95	$104,998.95	$104,998.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00