Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,079.46 / $12,589.25	Facility		$4,265.80	$7,079.46	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $5,011.87	Professional		$2,818.38	$4,073.80	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $1,905.46	Professional		$1,621.81	$1,905.46	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $54,954.09 / $131,825.67	Facility		$6,165.95	$54,954.09	$131,825.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,244.36 / $97,723.72	Professional		$5,754.40	$7,244.36	$97,723.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $8,317.64 / $8,317.64	Facility		$3,388.44	$8,317.64	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25,118.86 / $25,118.86 / $25,118.86	Professional		$25,118.86	$25,118.86	$25,118.86
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 $2,187.76 / $3,162.28 / $5,248.07	Professional		$2,187.76	$3,162.28	$5,248.07