Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $6,530.00 / $11,581.00	Facility		$2,421.00	$6,530.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,707.00 / $6,530.00 / $11,627.00	Professional		$3,707.00	$6,530.00	$11,627.00
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 $860.88 / $1,150.65 / $1,867.72	Professional		$860.88	$1,150.65	$1,867.72
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 $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