Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $7,670.00 / $17,682.00	Facility		$3,696.00	$7,670.00	$17,682.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,018.00 / $8,956.00 / $17,682.00	Professional		$5,018.00	$8,956.00	$17,682.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.59 / $1,586.78 / $2,446.94	Professional		$1,220.59	$1,586.78	$2,446.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,279.93 / $41,999.58 / $68,249.33	Facility		$7,279.93	$41,999.58	$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 $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00