Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $1,716.00 / $8,229.00	Facility		$416.00	$1,716.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,843.00 / $8,229.00	Professional		$40.00	$2,843.00	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,128.00 / $8,584.00 / $11,253.00	Facility		$4,128.00	$8,584.00	$11,253.00
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 $2,798.00 / $78,974.21 / $97,199.02	Facility		$2,798.00	$78,974.21	$97,199.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27,999.72 / $67,499.33 / $88,086.62	Professional		$27,999.72	$67,499.33	$88,086.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $463.00	Facility		$64.00	$64.00	$463.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.00 / $808.00 / $808.00	Professional		$808.00	$808.00	$808.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $45.00 / $65.00	Professional		$33.75	$45.00	$65.00
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00