Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.00 / $3,698.00 / $11,581.00	Facility		$1,409.00	$3,698.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.59 / $337.66 / $486.85	Professional		$233.59	$337.66	$486.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.98 / $391.19 / $592.96	Professional		$293.98	$391.19	$592.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $362.78 / $5,441.74 / $11,374.89	Facility		$362.78	$5,441.74	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $362.78 / $5,651.04 / $9,972.42	Professional		$362.78	$5,651.04	$9,972.42
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 $1,689.00 / $2,600.00 / $5,268.00	Facility		$1,689.00	$2,600.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.72 / $583.97 / $890.46	Professional		$423.72	$583.97	$890.46