Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $1,690.92 / $11,100.00	Facility		$924.00	$1,690.92	$11,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $924.00 / $958.65	Professional		$924.00	$924.00	$958.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,089.61 / $1,135.03 / $1,463.00	Facility		$1,089.61	$1,135.03	$1,463.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Professional		$875.00	$875.00	$875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,280.28 / $47,999.52 / $62,999.37	Facility		$7,280.28	$47,999.52	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $43,499.57 / $50,749.49	Professional		$981.75	$43,499.57	$50,749.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $1,466.85	Professional		$981.75	$981.75	$1,466.85
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 Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,030.83	Professional		$962.50	$962.50	$1,030.83