Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,398.83 / $4,168.69	Facility		$1,380.38	$2,398.83	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,445.44	Professional		$794.33	$1,174.90	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $288.40	Professional		$245.47	$288.40	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $26,302.68 / $54,954.09	Facility		$2,041.74	$26,302.68	$54,954.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $32,359.37	Professional		$1,905.46	$2,454.71	$32,359.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,818.38 / $2,818.38	Facility		$1,122.02	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
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 $707.95 / $707.95 / $1,174.90	Professional		$707.95	$707.95	$1,174.90