Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,506.47 / $1,750.17 / $2,215.40	Professional		$1,506.47	$1,750.17	$2,215.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.82 / $336.26 / $336.26	Professional		$285.82	$336.26	$336.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,990.79 / $23,261.70 / $59,016.20	Facility		$2,990.79	$23,261.70	$59,016.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,547.71 / $3,101.56 / $40,801.32	Professional		$2,547.71	$3,101.56	$40,801.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,658.48 / $2,658.48 / $2,658.48	Facility		$2,658.48	$2,658.48	$2,658.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,571.19 / $2,825.76 / $10,678.23	Professional		$2,571.19	$2,825.76	$10,678.23
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 $959.27 / $1,329.24 / $2,436.94	Professional		$959.27	$1,329.24	$2,436.94