Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,121.00 / $6,492.00 / $11,581.00	Facility		$3,121.00	$6,492.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,438.12 / $5,643.72 / $5,643.72	Professional		$3,438.12	$5,643.72	$5,643.72
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 $346.04 / $454.35 / $773.50	Professional		$346.04	$454.35	$773.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,884.78 / $49,824.71 / $97,158.18	Facility		$4,884.78	$49,824.71	$97,158.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,318.14 / $67,263.35 / $118,700.04	Professional		$4,318.14	$67,263.35	$118,700.04
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 $937.86 / $1,406.79 / $4,375.93	Professional		$937.86	$1,406.79	$4,375.93