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 $432.24 / $542.79 / $2,400.00	Professional		$432.24	$542.79	$2,400.00
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 $209.91 / $313.18 / $542.34	Professional		$209.91	$313.18	$542.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $649.32 / $8,241.42 / $16,857.45	Facility		$649.32	$8,241.42	$16,857.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $573.15 / $8,597.29 / $15,171.71	Professional		$573.15	$8,597.29	$15,171.71
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 $331.45 / $480.64 / $741.25	Professional		$331.45	$480.64	$741.25