Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,484.60 / $3,030.00 / $13,477.40	Facility		$2,484.60	$3,030.00	$13,477.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,060.40 / $3,030.00 / $3,110.00	Professional		$2,060.40	$3,030.00	$3,110.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Facility		$1,500.00	$1,500.00	$1,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,500.00 / $1,500.00	Professional		$1,275.00	$1,500.00	$1,500.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,636.00 / $39,768.75 / $76,356.00	Facility		$3,636.00	$39,768.75	$76,356.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,484.50 / $4,242.00 / $56,200.20	Professional		$3,484.50	$4,242.00	$56,200.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.50 / $2,357.64 / $3,998.09	Facility		$1,969.50	$2,357.64	$3,998.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,272.50 / $3,864.56 / $14,604.60	Professional		$2,272.50	$3,864.56	$14,604.60
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 $1,272.59 / $1,818.00 / $3,333.00	Professional		$1,272.59	$1,818.00	$3,333.00