Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,471.29 / $18,197.01	Facility		$6,165.95	$10,471.29	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,888.44 / $7,413.10	Professional		$2,691.53	$5,888.44	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $851.14	Professional		$724.44	$851.14	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $56,234.13 / $190,546.07	Facility		$8,912.51	$56,234.13	$190,546.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,715.19 / $141,253.75	Professional		$8,317.64	$10,715.19	$141,253.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $12,022.64 / $12,022.64	Facility		$4,897.79	$12,022.64	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36,307.81 / $36,307.81 / $36,307.81	Professional		$36,307.81	$36,307.81	$36,307.81
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 $3,162.28 / $4,570.88 / $7,585.78	Professional		$3,162.28	$4,570.88	$7,585.78