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 $253.30 / $611.14 / $625.21	Professional		$253.30	$611.14	$625.21
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 $61.38 / $90.27 / $389.16	Professional		$61.38	$90.27	$389.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.77 / $6,056.51 / $12,332.25	Facility		$403.77	$6,056.51	$12,332.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $403.77 / $6,289.45 / $11,099.03	Professional		$403.77	$6,289.45	$11,099.03
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 $232.12 / $323.70 / $663.08	Professional		$232.12	$323.70	$663.08