Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $8,912.51	Facility		$3,019.95	$5,011.87	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $3,548.13	Professional		$1,995.26	$2,884.03	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.30 / $12.30	Professional		$10.47	$12.30	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $46,773.51 / $93,325.43	Facility		$4,365.16	$46,773.51	$93,325.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $67,608.30	Professional		$4,073.80	$5,128.61	$67,608.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $5,888.44	Facility		$2,398.83	$5,888.44	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Professional		$17,782.79	$17,782.79	$17,782.79
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 $1,548.82 / $2,187.76 / $3,715.35	Professional		$1,548.82	$2,187.76	$3,715.35