Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.40 / $1,305.36 / $5,806.31	Facility		$1,070.40	$1,305.36	$5,806.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.76 / $1,044.30 / $1,305.36	Professional		$913.76	$1,044.30	$1,305.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.36 / $201.36 / $201.36	Facility		$201.36	$201.36	$201.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $201.36 / $201.36	Professional		$171.15	$201.36	$201.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,566.44 / $17,132.98 / $41,217.49	Facility		$1,566.44	$17,132.98	$41,217.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,501.18 / $1,827.52 / $24,215.27	Professional		$1,501.18	$1,827.52	$24,215.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.49 / $1,015.71 / $1,722.43	Facility		$848.49	$1,015.71	$1,722.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.62 / $6,291.88 / $6,291.88	Professional		$1,375.62	$6,291.88	$6,291.88
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 $548.26 / $783.22 / $1,305.36	Professional		$548.26	$783.22	$1,305.36