Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,442.00 / $9,516.00 / $11,627.00	Facility		$5,442.00	$9,516.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,502.00 / $9,504.00 / $11,627.00	Professional		$6,502.00	$9,504.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,577.00 / $13,964.62 / $26,394.04	Facility		$5,577.00	$13,964.62	$26,394.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.01 / $1,409.91 / $2,026.59	Professional		$1,226.01	$1,409.91	$2,026.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,374.89 / $45,499.55 / $68,249.33	Facility		$11,374.89	$45,499.55	$68,249.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52,499.48 / $70,874.30 / $74,999.25	Professional		$52,499.48	$70,874.30	$74,999.25
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 $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00