Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $4,677.35	Facility		$1,584.89	$2,630.27	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,862.09	Professional		$1,288.25	$1,548.82	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $3,162.28	Professional		$33.11	$33.11	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $28,183.83 / $51,286.14	Facility		$2,290.87	$28,183.83	$51,286.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $36,307.81	Professional		$2,137.96	$2,691.53	$36,307.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,090.30 / $3,090.30	Facility		$1,258.93	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
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 $812.83 / $1,174.90 / $1,949.84	Professional		$812.83	$1,174.90	$1,949.84