Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $6,025.60	Facility		$2,041.74	$3,467.37	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,454.71	Professional		$1,698.24	$1,995.26	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $2,630.27	Facility		$2,238.72	$2,511.89	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,513.56	Professional		$1,288.25	$1,513.56	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $38,018.94 / $67,608.30	Facility		$2,951.21	$38,018.94	$67,608.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $46,773.51	Professional		$2,754.23	$3,548.13	$46,773.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $3,981.07	Facility		$1,621.81	$3,981.07	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
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 $1,096.48 / $1,659.59 / $2,818.38	Professional		$1,096.48	$1,659.59	$2,818.38