Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,666.54 / $2,666.54 / $33,725.60	Facility		$2,666.54	$2,666.54	$33,725.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,666.54 / $2,666.54 / $2,666.54	Professional		$2,666.54	$2,666.54	$2,666.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $846.27 / $846.27	Facility		$846.27	$846.27	$846.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.32 / $846.27 / $846.27	Professional		$719.32	$846.27	$846.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,098.64 / $41,999.58 / $191,071.40	Facility		$9,098.64	$41,999.58	$191,071.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,719.53 / $10,615.08 / $209,465.87	Professional		$8,719.53	$10,615.08	$209,465.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,928.43 / $5,899.71 / $10,004.70	Facility		$4,928.43	$5,899.71	$10,004.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,799.77 / $36,546.19 / $36,546.19	Professional		$8,799.77	$36,546.19	$36,546.19
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 $3,283.09 / $4,549.32 / $8,340.42	Professional		$3,283.09	$4,549.32	$8,340.42