Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $7,244.36	Facility		$2,511.89	$4,168.69	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,951.21	Professional		$1,819.70	$2,344.23	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
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 $3,548.13 / $43,651.58 / $75,857.76	Facility		$3,548.13	$43,651.58	$75,857.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $56,234.13	Professional		$3,311.31	$4,265.80	$56,234.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,897.79 / $4,897.79	Facility		$1,949.84	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $14,454.40 / $14,454.40	Professional		$3,548.13	$14,454.40	$14,454.40
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 $1,258.93 / $1,819.70 / $3,019.95	Professional		$1,258.93	$1,819.70	$3,019.95