Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,306.00 / $9,496.00 / $11,627.00	Facility		$2,306.00	$9,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.53 / $1,476.81 / $2,038.06	Professional		$1,020.53	$1,476.81	$2,038.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,398.00 / $27,660.50 / $47,489.23	Facility		$7,398.00	$27,660.50	$47,489.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $161.91 / $176.07	Professional		$42.32	$161.91	$176.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,262.99 / $18,859.16 / $38,575.58	Facility		$1,262.99	$18,859.16	$38,575.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,262.99 / $19,673.54 / $34,718.03	Professional		$1,262.99	$19,673.54	$34,718.03
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
United Facility/Professional Professional Modifier Low / Median / High Price $1,798.96 / $2,486.35 / $3,760.77	Professional		$1,798.96	$2,486.35	$3,760.77