Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.00 / $3,116.00 / $11,581.00	Facility		$1,109.00	$3,116.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $287.27 / $292.70	Professional		$20.00	$287.27	$292.70
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 $104.95 / $156.59 / $271.18	Professional		$104.95	$156.59	$271.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.87 / $3,349.17 / $11,374.89	Facility		$263.87	$3,349.17	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $3,493.79 / $6,165.53	Professional		$232.92	$3,493.79	$6,165.53
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 $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $212.69 / $366.68	Professional		$146.66	$212.69	$366.68