Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,861.50 / $3,489.63 / $15,521.90	Facility		$2,861.50	$3,489.63	$15,521.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,442.73 / $2,791.70 / $3,489.63	Professional		$2,442.73	$2,791.70	$3,489.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $200.00	Professional		$170.00	$200.00	$200.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,187.56 / $41,999.58 / $87,938.68	Facility		$4,187.56	$41,999.58	$87,938.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,013.07 / $4,885.47 / $64,725.98	Professional		$4,013.07	$4,885.47	$64,725.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,268.26 / $2,715.28 / $4,604.57	Facility		$2,268.26	$2,715.28	$4,604.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,677.28 / $16,820.02 / $16,820.02	Professional		$3,677.28	$16,820.02	$16,820.02
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 $1,465.64 / $2,093.78 / $3,489.63	Professional		$1,465.64	$2,093.78	$3,489.63