Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,306.00 / $9,496.00 / $11,627.00	Facility		$2,306.00	$9,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.27 / $1,491.59 / $2,239.69	Professional		$1,115.27	$1,491.59	$2,239.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,398.00 / $27,660.50 / $47,489.23	Facility		$7,398.00	$27,660.50	$47,489.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,543.65 / $2,006.75 / $3,001.96	Professional		$1,543.65	$2,006.75	$3,001.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,600.61 / $23,900.58 / $42,369.21	Facility		$1,600.61	$23,900.58	$42,369.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,600.61 / $24,932.65 / $43,998.80	Professional		$1,600.61	$24,932.65	$43,998.80
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 $1,951.78 / $2,588.08 / $3,803.55	Professional		$1,951.78	$2,588.08	$3,803.55