Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,222.16 / $2,709.95 / $12,053.90	Facility		$2,222.16	$2,709.95	$12,053.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,896.97 / $2,167.96 / $2,709.95	Professional		$1,896.97	$2,167.96	$2,709.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $33.20 / $33.20	Facility		$33.20	$33.20	$33.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $33.20 / $33.20	Professional		$28.22	$33.20	$33.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,251.94 / $28,454.48 / $68,290.74	Facility		$3,251.94	$28,454.48	$68,290.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,116.44 / $3,793.93 / $74,864.78	Professional		$3,116.44	$3,793.93	$74,864.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.47 / $2,108.61 / $3,575.78	Facility		$1,761.47	$2,108.61	$3,575.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,145.16 / $13,061.96 / $13,061.96	Professional		$3,145.16	$13,061.96	$13,061.96
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 $1,625.97 / $1,625.97 / $2,980.95	Professional		$1,625.97	$1,625.97	$2,980.95