Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.66 / $2,989.00 / $11,581.00	Facility		$788.66	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $2,547.00 / $11,581.00	Professional		$187.15	$2,547.00	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $7,313.00 / $17,584.00	Facility		$1,093.00	$7,313.00	$17,584.00
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 $877.50 / $1,053.00 / $32,999.67	Facility		$877.50	$1,053.00	$32,999.67
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 $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00