Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,098.00 / $7,342.00 / $11,627.00	Facility		$2,098.00	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.08 / $1,331.08 / $10,890.25	Professional		$1,331.08	$1,331.08	$10,890.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.55 / $6,820.85 / $14,071.70	Professional		$669.55	$6,820.85	$14,071.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,131.17 / $16,967.54 / $34,995.56	Facility		$1,131.17	$16,967.54	$34,995.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,225.43 / $19,088.49 / $33,685.58	Professional		$1,225.43	$19,088.49	$33,685.58
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 $5,496.00 / $12,167.00 / $31,392.47	Facility		$5,496.00	$12,167.00	$31,392.47
United Facility/Professional Professional Modifier Low / Median / High Price $3,617.88 / $12,648.71 / $18,353.34	Professional		$3,617.88	$12,648.71	$18,353.34