Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.00 / $6,492.00 / $11,581.00	Facility		$1,699.00	$6,492.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.51 / $186.49 / $213.46	Professional		$185.51	$186.49	$213.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $176.06 / $281.77	Professional		$121.95	$176.06	$281.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.72 / $3,415.83 / $6,986.93	Facility		$227.72	$3,415.83	$6,986.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $3,563.33 / $6,288.24	Professional		$237.56	$3,563.33	$6,288.24
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 $1,098.57 / $2,251.00 / $4,951.00	Facility		$1,098.57	$2,251.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $245.45 / $396.43	Professional		$178.84	$245.45	$396.43