Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $3,162.28	Facility		$1,071.52	$1,778.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,258.93	Professional		$870.96	$1,047.13	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $199.53	Professional		$169.82	$199.53	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $19,498.45 / $45,708.82	Facility		$1,548.82	$19,498.45	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $23,988.33	Professional		$1,445.44	$1,819.70	$23,988.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,089.30 / $2,089.30	Facility		$851.14	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,318.26	Professional		$549.54	$776.25	$1,318.26