Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.00 / $7,342.00 / $11,627.00	Facility		$1,984.00	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.48 / $605.66 / $790.31	Professional		$352.48	$605.66	$790.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $85.28 / $464.11	Professional		$57.99	$85.28	$464.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $849.93 / $12,691.31 / $25,959.50	Facility		$849.93	$12,691.31	$25,959.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $849.93 / $13,239.34 / $23,363.54	Professional		$849.93	$13,239.34	$23,363.54
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 $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.45 / $465.88 / $928.12	Professional		$340.45	$465.88	$928.12