Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,121.00 / $6,845.00 / $11,581.00	Facility		$3,121.00	$6,845.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $8,742.74 / $8,742.74	Professional		$632.91	$8,742.74	$8,742.74
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 $458.54 / $602.07 / $934.14	Professional		$458.54	$602.07	$934.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,153.99 / $141,569.90 / $286,729.20	Facility		$11,153.99	$141,569.90	$286,729.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11,153.99 / $173,744.87 / $306,608.59	Professional		$11,153.99	$173,744.87	$306,608.59
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 $5,496.00 / $9,369.00 / $14,533.00	Facility		$5,496.00	$9,369.00	$14,533.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.82 / $1,025.95 / $13,507.95	Professional		$492.82	$1,025.95	$13,507.95