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 $246.27 / $323.56 / $517.89	Professional		$246.27	$323.56	$517.89
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 $191.38 / $249.41 / $469.90	Professional		$191.38	$249.41	$469.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.93 / $4,403.29 / $10,596.15	Facility		$346.93	$4,403.29	$10,596.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $360.27 / $5,404.04 / $8,830.12	Professional		$360.27	$5,404.04	$8,830.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.39 / $377.39 / $21,571.00	Facility		$377.39	$377.39	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,571.56 / $1,571.56 / $1,571.56	Professional		$1,571.56	$1,571.56	$1,571.56
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 $1,050.00 / $2,883.00 / $5,708.00	Facility		$1,050.00	$2,883.00	$5,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $390.20 / $772.17	Professional		$297.33	$390.20	$772.17