Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $6,492.00 / $11,581.00	Facility		$2,421.00	$6,492.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.14 / $4,955.22 / $4,955.22	Professional		$1,523.14	$4,955.22	$4,955.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,238.00 / $36,529.00	Facility		$2,097.00	$8,238.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.46 / $645.28 / $1,066.24	Professional		$491.46	$645.28	$1,066.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,290.92 / $54,461.74 / $110,304.30	Facility		$4,290.92	$54,461.74	$110,304.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,290.92 / $66,839.41 / $117,951.90	Professional		$4,290.92	$66,839.41	$117,951.90
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 $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.37 / $1,637.33 / $4,582.16	Professional		$1,012.37	$1,637.33	$4,582.16