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 $315.25 / $456.10 / $523.66	Professional		$315.25	$456.10	$523.66
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 $411.36 / $542.03 / $799.98	Professional		$411.36	$542.03	$799.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.20 / $7,338.08 / $14,941.80	Facility		$489.20	$7,338.08	$14,941.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.21 / $7,620.32 / $13,447.62	Professional		$489.21	$7,620.32	$13,447.62
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 / $11,267.00 / $15,869.00	Facility		$4,873.00	$11,267.00	$15,869.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.39 / $613.85 / $948.60	Professional		$458.39	$613.85	$948.60