Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.00 / $7,342.00 / $11,627.00	Facility		$1,984.00	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,800.68 / $1,800.68 / $2,903.91	Professional		$1,800.68	$1,800.68	$2,903.91
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 $175.31 / $1,348.78 / $2,846.91	Professional		$175.31	$1,348.78	$2,846.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,929.13 / $28,936.88 / $49,816.31	Facility		$1,929.13	$28,936.88	$49,816.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,012.43 / $30,186.42 / $53,270.16	Professional		$2,012.43	$30,186.42	$53,270.16
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 $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,215.96 / $3,295.96 / $5,260.18	Professional		$2,215.96	$3,295.96	$5,260.18