Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.04 / $7,757.09 / $7,757.09	Facility		$1,430.04	$7,757.09	$7,757.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.22 / $1,076.22 / $1,076.22	Professional		$1,076.22	$1,076.22	$1,076.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.83 / $288.83 / $288.83	Facility		$288.83	$288.83	$288.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.51 / $288.83 / $288.83	Professional		$245.51	$288.83	$288.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,092.73 / $22,889.34 / $47,249.53	Facility		$2,092.73	$22,889.34	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,005.54 / $2,441.53 / $48,173.27	Professional		$2,005.54	$2,441.53	$48,173.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.57 / $1,356.97 / $2,301.15	Facility		$1,133.57	$1,356.97	$2,301.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,023.91 / $8,405.84 / $8,405.84	Professional		$2,023.91	$8,405.84	$8,405.84
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 $526.41 / $701.88 / $1,169.80	Professional		$526.41	$701.88	$1,169.80