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 $277.45 / $401.21 / $459.82	Professional		$277.45	$401.21	$459.82
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 $332.40 / $431.45 / $646.41	Professional		$332.40	$431.45	$646.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $430.63 / $6,459.44 / $13,152.72	Facility		$430.63	$6,459.44	$13,152.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $430.63 / $6,707.88 / $11,837.45	Professional		$430.63	$6,707.88	$11,837.45
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 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.51 / $536.15 / $815.31	Professional		$402.51	$536.15	$815.31