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 $252.12 / $269.31 / $299.55	Professional		$252.12	$269.31	$299.55
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 $121.02 / $154.68 / $268.41	Professional		$121.02	$154.68	$268.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $287.72 / $4,335.35 / $8,827.65	Facility		$287.72	$4,335.35	$8,827.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.14 / $4,502.10 / $7,944.89	Professional		$300.14	$4,502.10	$7,944.89
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 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.60 / $362.24 / $601.66	Professional		$265.60	$362.24	$601.66