Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,698.00 / $11,581.00	Facility		$1,486.00	$3,698.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.29 / $227.24 / $227.24	Professional		$181.29	$227.24	$227.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.34 / $140.12 / $222.03	Professional		$106.34	$140.12	$222.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.27 / $3,906.73 / $7,954.88	Facility		$259.27	$3,906.73	$7,954.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.47 / $4,056.99 / $7,159.40	Professional		$270.47	$4,056.99	$7,159.40
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 $3,879.00 / $5,726.00 / $9,483.00	Facility		$3,879.00	$5,726.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $245.62 / $375.58	Professional		$162.63	$245.62	$375.58