Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $2,175.07 / $12,246.50	Facility		$455.43	$2,175.07	$12,246.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $2,202.60 / $2,532.98	Professional		$455.43	$2,202.60	$2,532.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $208.00 / $4,322.60	Professional		$11.28	$208.00	$4,322.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,303.90 / $36,136.41 / $69,381.89	Facility		$3,303.90	$36,136.41	$69,381.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,166.24 / $3,854.55 / $51,070.27	Professional		$3,166.24	$3,854.55	$51,070.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,789.61 / $2,142.30 / $3,632.91	Facility		$1,789.61	$2,142.30	$3,632.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,195.63 / $13,270.67 / $13,270.67	Professional		$3,195.63	$13,270.67	$13,270.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $100.00 / $100.00	Professional		$45.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.36 / $1,651.95 / $2,753.25	Professional		$1,156.36	$1,651.95	$2,753.25