Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.00 / $3,698.00 / $11,581.00	Facility		$1,409.00	$3,698.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.79 / $1,254.92 / $1,388.44	Professional		$1,225.79	$1,254.92	$1,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $60.65 / $97.29	Professional		$45.38	$60.65	$97.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.41 / $20,706.18 / $41,999.58	Facility		$1,380.41	$20,706.18	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,440.02 / $21,600.31 / $38,118.19	Professional		$1,440.02	$21,600.31	$38,118.19
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 $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$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 $1,328.25 / $1,815.76 / $3,064.35	Professional		$1,328.25	$1,815.76	$3,064.35