Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $6,456.54	Facility		$2,238.72	$3,715.35	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $2,630.27	Professional		$1,479.11	$2,187.76	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $33.11	Professional		$28.18	$33.11	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $39,810.72 / $67,608.30	Facility		$3,235.94	$39,810.72	$67,608.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,801.89 / $50,118.72	Professional		$2,951.21	$3,801.89	$50,118.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $4,365.16	Facility		$1,778.28	$4,365.16	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
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 $1,148.15 / $1,621.81 / $2,691.53	Professional		$1,148.15	$1,621.81	$2,691.53