Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,444.00 / $7,342.00 / $11,627.00	Facility		$3,444.00	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,099.62 / $5,932.60 / $10,301.44	Professional		$4,099.62	$5,932.60	$10,301.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.10 / $11,110.94 / $20,766.77	Professional		$779.10	$11,110.94	$20,766.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,809.98 / $48,357.36 / $97,940.81	Facility		$3,809.98	$48,357.36	$97,940.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,809.97 / $59,347.67 / $104,731.19	Professional		$3,809.97	$59,347.67	$104,731.19
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 $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,950.57 / $13,302.34 / $22,200.25	Professional		$9,950.57	$13,302.34	$22,200.25