Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,723.63 / $8,956.00 / $11,627.00	Facility		$1,723.63	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.99 / $1,723.63 / $2,233.76	Professional		$1,190.99	$1,723.63	$2,233.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,932.00 / $25,522.00	Facility		$2,291.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,609.44 / $1,931.32 / $3,192.37	Professional		$1,609.44	$1,931.32	$3,192.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,849.71 / $27,620.01 / $47,549.30	Facility		$1,849.71	$27,620.01	$47,549.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,849.70 / $28,812.69 / $50,845.94	Professional		$1,849.70	$28,812.69	$50,845.94
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 $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,779.16 / $2,587.52 / $3,677.52	Professional		$1,779.16	$2,587.52	$3,677.52