Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.00 / $2,989.00 / $11,581.00	Facility		$1,109.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.79 / $323.23 / $516.85	Professional		$246.79	$323.23	$516.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $162.12 / $293.23	Professional		$124.90	$162.12	$293.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $396.37 / $4,603.43 / $10,596.15	Facility		$396.37	$4,603.43	$10,596.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $360.27 / $5,404.04 / $8,830.12	Professional		$360.27	$5,404.04	$8,830.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.98 / $376.98 / $21,571.00	Facility		$376.98	$376.98	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,568.48 / $1,568.48 / $1,568.48	Professional		$1,568.48	$1,568.48	$1,568.48
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 $277.01 / $368.78 / $688.63	Professional		$277.01	$368.78	$688.63