Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,398.00 / $7,986.00 / $11,627.00	Facility		$3,398.00	$7,986.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $363.65 / $3,398.00	Professional		$55.36	$363.65	$3,398.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.77 / $425.98 / $636.90	Professional		$315.77	$425.98	$636.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.69 / $5,860.26 / $11,932.65	Facility		$390.69	$5,860.26	$11,932.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.68 / $6,085.65 / $10,739.39	Professional		$390.68	$6,085.65	$10,739.39
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 $50.06 / $69.33 / $385.47	Professional		$50.06	$69.33	$385.47