Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.11 / $1,069.24 / $5,799.97	Facility		$1,030.11	$1,069.24	$5,799.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.11 / $1,043.16 / $1,095.32	Professional		$1,030.11	$1,043.16	$1,095.32
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 $1,564.74 / $17,114.34 / $41,166.37	Facility		$1,564.74	$17,114.34	$41,166.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,499.54 / $1,825.53 / $36,020.57	Professional		$1,499.54	$1,825.53	$36,020.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.57 / $1,014.60 / $1,720.57	Facility		$847.57	$1,014.60	$1,720.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.35 / $6,285.04 / $6,285.04	Professional		$1,513.35	$6,285.04	$6,285.04
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 $547.66 / $670.79 / $1,229.78	Professional		$547.66	$670.79	$1,229.78