Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $4,570.88	Facility		$1,548.82	$2,570.40	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,778.28	Professional		$1,258.93	$1,513.56	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $28,183.83 / $50,118.72	Facility		$2,238.72	$28,183.83	$50,118.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $35,481.34	Professional		$2,089.30	$2,630.27	$35,481.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,019.95 / $3,019.95	Facility		$1,230.27	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
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 $794.33 / $1,148.15 / $1,905.46	Professional		$794.33	$1,148.15	$1,905.46