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 $145.96 / $209.29 / $243.64	Professional		$145.96	$209.29	$243.64
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 $193.90 / $252.07 / $377.08	Professional		$193.90	$252.07	$377.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.61 / $3,369.20 / $11,374.89	Facility		$224.61	$3,369.20	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.61 / $3,498.78 / $6,174.33	Professional		$224.61	$3,498.78	$6,174.33
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 $213.26 / $291.82 / $474.35	Professional		$213.26	$291.82	$474.35