Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $6,492.00 / $11,581.00	Facility		$1,622.00	$6,492.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $169.32 / $283.47	Professional		$150.06	$169.32	$283.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $73.17 / $134.21	Professional		$57.17	$73.17	$134.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $2,135.01 / $4,914.35	Facility		$183.83	$2,135.01	$4,914.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $2,506.31 / $4,095.29	Professional		$167.09	$2,506.31	$4,095.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $196.85 / $21,571.00	Facility		$196.85	$196.85	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.68 / $743.68 / $743.68	Professional		$743.68	$743.68	$743.68
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 $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.84 / $248.87 / $421.02	Professional		$190.84	$248.87	$421.02