Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.00 / $5,597.00 / $10,817.74	Facility		$1,604.00	$5,597.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,586.16 / $1,905.16 / $9,504.00	Professional		$1,586.16	$1,905.16	$9,504.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57,749.42 / $72,899.27 / $78,974.21	Facility		$57,749.42	$72,899.27	$78,974.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104,998.95 / $104,998.95 / $104,998.95	Professional		$104,998.95	$104,998.95	$104,998.95
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 $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00