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 $1,023.00 / $2,843.00 / $8,229.00	Professional		$1,023.00	$2,843.00	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$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 $37,799.62 / $85,049.15 / $115,423.90	Facility		$37,799.62	$85,049.15	$115,423.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29,999.70 / $72,899.27 / $97,199.03	Professional		$29,999.70	$72,899.27	$97,199.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,377.56 / $4,377.56 / $4,377.56	Professional		$4,377.56	$4,377.56	$4,377.56
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00