Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.45 / $1,439.10 / $8,673.60	Facility		$1,386.45	$1,439.10	$8,673.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $1,439.10 / $1,755.00	Professional		$1,365.00	$1,439.10	$1,755.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.88 / $1,755.00 / $2,049.44	Facility		$1,213.88	$1,755.00	$2,049.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $1,950.00 / $1,950.00	Professional		$325.33	$1,950.00	$1,950.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $25,593.75 / $49,140.00	Facility		$2,340.00	$25,593.75	$49,140.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,242.50 / $2,730.00 / $36,166.92	Professional		$2,242.50	$2,730.00	$36,166.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $1,517.30 / $2,573.03	Facility		$1,267.50	$1,517.30	$2,573.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,262.92 / $9,399.00 / $9,399.00	Professional		$2,262.92	$9,399.00	$9,399.00
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 $819.00 / $1,170.00 / $1,950.00	Professional		$819.00	$1,170.00	$1,950.00