Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,137.96	Professional		$1,548.82	$1,778.28	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $338.84	Professional		$288.40	$338.84	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $28,840.32 / $58,884.37	Facility		$2,630.27	$28,840.32	$58,884.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $40,738.03	Professional		$2,630.27	$3,090.30	$40,738.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $10,715.19 / $10,715.19	Professional		$2,570.40	$10,715.19	$10,715.19
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 $1,318.26 / $1,318.26 / $3,548.13	Professional		$1,318.26	$1,318.26	$3,548.13