Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.04 / $8,956.00 / $11,627.00	Facility		$1,022.04	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.77 / $1,022.04 / $2,573.84	Professional		$759.77	$1,022.04	$2,573.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.99 / $1,831.00 / $3,840.45	Facility		$870.99	$1,831.00	$3,840.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.60 / $525.98 / $904.40	Professional		$404.60	$525.98	$904.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,366.27 / $20,494.11 / $59,702.01	Facility		$1,366.27	$20,494.11	$59,702.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,206.00 / $16,420.05 / $31,923.53	Professional		$1,206.00	$16,420.05	$31,923.53
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 $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.27 / $1,499.27 / $2,309.58	Professional		$1,134.27	$1,499.27	$2,309.58