Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.62 / $3,698.00 / $11,581.00	Facility		$1,412.62	$3,698.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.10 / $1,412.62 / $1,446.07	Professional		$1,404.10	$1,412.62	$1,446.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.36 / $4,297.38 / $9,070.60	Professional		$1,099.36	$4,297.38	$9,070.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,622.87 / $24,343.11 / $43,153.70	Facility		$1,622.87	$24,343.11	$43,153.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,692.95 / $25,394.29 / $44,813.46	Professional		$1,692.95	$25,394.29	$44,813.46
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 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,336.58 / $1,839.61 / $2,994.39	Professional		$1,336.58	$1,839.61	$2,994.39