Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,284.17 / $5,224.60 / $23,239.00	Facility		$4,284.17	$5,224.60	$23,239.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,657.22 / $4,179.68 / $5,224.60	Professional		$3,657.22	$4,179.68	$5,224.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,912.00 / $1,912.00 / $1,912.00	Facility		$1,912.00	$1,912.00	$1,912.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,625.20 / $1,912.00 / $1,912.00	Professional		$1,625.20	$1,912.00	$1,912.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,269.52 / $41,999.58 / $131,659.90	Facility		$6,269.52	$41,999.58	$131,659.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,008.29 / $7,314.44 / $144,332.37	Professional		$6,008.29	$7,314.44	$144,332.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,395.99 / $4,065.26 / $6,893.86	Facility		$3,395.99	$4,065.26	$6,893.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,063.82 / $25,182.57 / $25,182.57	Professional		$6,063.82	$25,182.57	$25,182.57
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 $2,262.25 / $3,134.76 / $5,224.60	Professional		$2,262.25	$3,134.76	$5,224.60