Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,461.71 / $13,353.30	Facility		$1,500.00	$2,461.71	$13,353.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,440.82 / $2,500.00	Professional		$1,500.00	$2,440.82	$2,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $100.00 / $118.86	Professional		$85.00	$100.00	$118.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,602.51 / $39,402.43 / $75,652.67	Facility		$3,602.51	$39,402.43	$75,652.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,452.40 / $4,202.93 / $55,684.14	Professional		$3,452.40	$4,202.93	$55,684.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.36 / $2,335.92 / $3,961.26	Facility		$1,951.36	$2,335.92	$3,961.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,484.29 / $14,470.07 / $14,470.07	Professional		$3,484.29	$14,470.07	$14,470.07
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 $1,260.88 / $1,801.25 / $3,002.09	Professional		$1,260.88	$1,801.25	$3,002.09