Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,071.00 / $5,442.00 / $11,452.00	Facility		$2,071.00	$5,442.00	$11,452.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.07 / $312.62 / $2,238.00	Professional		$216.07	$312.62	$2,238.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.83 / $346.74 / $531.80	Professional		$256.83	$346.74	$531.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.57 / $5,033.50 / $11,374.89	Facility		$335.57	$5,033.50	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $335.57 / $5,227.09 / $9,224.28	Professional		$335.57	$5,227.09	$9,224.28
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 $1,020.00 / $1,940.00 / $4,132.00	Facility		$1,020.00	$1,940.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.38 / $444.18 / $703.01	Professional		$331.38	$444.18	$703.01