Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.57 / $3,971.00 / $11,581.00	Facility		$1,508.57	$3,971.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,471.24 / $1,508.57 / $1,667.93	Professional		$1,471.24	$1,508.57	$1,667.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $61.93 / $98.45	Professional		$53.39	$61.93	$98.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,465.36 / $2,198.04 / $34,044.53	Facility		$1,465.36	$2,198.04	$34,044.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,465.36 / $21,980.40 / $37,916.19	Professional		$1,465.36	$21,980.40	$37,916.19
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 $50.00 / $60.00 / $60.00	Professional		$50.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,539.97 / $2,069.35 / $3,392.42	Professional		$1,539.97	$2,069.35	$3,392.42