Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $6,492.00 / $11,581.00	Facility		$1,622.00	$6,492.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.92 / $1,556.41 / $1,972.11	Professional		$930.92	$1,556.41	$1,972.11
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 $108.46 / $864.43 / $2,200.07	Professional		$108.46	$864.43	$2,200.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,670.19 / $24,939.42 / $44,210.79	Facility		$1,670.19	$24,939.42	$44,210.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,670.19 / $26,016.35 / $45,911.21	Professional		$1,670.19	$26,016.35	$45,911.21
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 $1,889.41 / $2,585.51 / $4,015.77	Professional		$1,889.41	$2,585.51	$4,015.77