Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,933.10 / $8,455.00 / $37,607.80	Facility		$6,933.10	$8,455.00	$37,607.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,749.40 / $8,455.00 / $8,455.00	Professional		$5,749.40	$8,455.00	$8,455.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $208.00 / $208.00	Facility		$208.00	$208.00	$208.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $12.28 / $208.00	Professional		$10.43	$12.28	$208.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,146.00 / $45,499.55 / $213,066.00	Facility		$10,146.00	$45,499.55	$213,066.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,723.25 / $11,837.00 / $156,828.94	Professional		$9,723.25	$11,837.00	$156,828.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.75 / $6,578.84 / $11,156.37	Facility		$5,495.75	$6,578.84	$11,156.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,341.25 / $10,784.11 / $40,753.10	Professional		$6,341.25	$10,784.11	$40,753.10
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 $1,653.75 / $2,205.00 / $5,073.00	Professional		$1,653.75	$2,205.00	$5,073.00