Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $8,317.64	Facility		$2,884.03	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $3,388.44	Professional		$1,905.46	$2,754.23	$3,388.44
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 $4,168.69 / $46,773.51 / $87,096.36	Facility		$4,168.69	$46,773.51	$87,096.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,897.79 / $64,565.42	Professional		$3,801.89	$4,897.79	$64,565.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,623.41 / $5,623.41	Facility		$2,290.87	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Professional		$16,982.44	$16,982.44	$16,982.44
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 $1,479.11 / $2,089.30 / $3,467.37	Professional		$1,479.11	$2,089.30	$3,467.37