Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.87 / $2,103.26 / $9,890.01	Facility		$991.87	$2,103.26	$9,890.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $991.87 / $1,053.85	Professional		$991.87	$991.87	$1,053.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $824.77 / $1,218.40 / $1,278.88	Facility		$824.77	$1,218.40	$1,278.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.00 / $1,128.00 / $1,128.00	Professional		$940.00	$1,128.00	$1,128.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,050.38 / $43,499.57 / $55,999.44	Facility		$2,050.38	$43,499.57	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,139.09 / $1,684.25 / $47,249.53	Professional		$1,139.09	$1,684.25	$47,249.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
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 $1,033.20 / $1,033.20 / $1,106.56	Professional		$1,033.20	$1,033.20	$1,106.56