Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,691.53 / $4,677.35	Facility		$1,445.44	$2,691.53	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,698.24	Professional		$1,318.26	$1,479.11	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,041.74	Facility		$1,621.81	$1,949.84	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $1,949.84	Professional		$1,548.82	$1,949.84	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $28,840.32 / $52,480.75	Facility		$2,290.87	$28,840.32	$52,480.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $36,307.81	Professional		$2,137.96	$2,754.23	$36,307.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,090.30 / $3,090.30	Facility		$1,258.93	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
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 $812.83 / $1,174.90 / $1,949.84	Professional		$812.83	$1,174.90	$1,949.84