Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,040.16 / $2,488.00 / $11,066.60	Facility		$2,040.16	$2,488.00	$11,066.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,488.00 / $2,488.00 / $2,488.00	Professional		$2,488.00	$2,488.00	$2,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.80 / $358.80 / $358.80	Facility		$358.80	$358.80	$358.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.10 / $358.80 / $358.80	Professional		$269.10	$358.80	$358.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $3,980.80 / $55,999.44	Facility		$2,488.00	$3,980.80	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,736.80 / $3,483.20 / $46,150.57	Professional		$2,736.80	$3,483.20	$46,150.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,617.20 / $1,898.59 / $2,985.60	Facility		$1,617.20	$1,898.59	$2,985.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,798.50 / $3,574.00 / $11,992.16	Professional		$2,798.50	$3,574.00	$11,992.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $100.00 / $100.00	Professional		$45.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,492.80 / $2,736.80	Professional		$1,044.96	$1,492.80	$2,736.80