Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $6,492.00 / $11,581.00	Facility		$1,622.00	$6,492.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $248.43 / $253.30	Professional		$156.80	$248.43	$253.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.67 / $272.32 / $416.29	Professional		$206.67	$272.32	$416.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $4,253.31 / $11,374.89	Facility		$283.56	$4,253.31	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.55 / $4,416.89 / $7,794.53	Professional		$283.55	$4,416.89	$7,794.53
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 $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.27 / $313.39 / $463.23	Professional		$231.27	$313.39	$463.23