Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $6,165.95	Facility		$2,089.30	$3,548.13	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,570.40	Professional		$1,698.24	$2,041.74	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $4,786.30	Professional		$4,073.80	$4,786.30	$4,786.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $38,018.94 / $64,565.42	Facility		$3,019.95	$38,018.94	$64,565.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $47,863.01	Professional		$2,818.38	$3,630.78	$47,863.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,073.80 / $4,073.80	Facility		$1,659.59	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Professional		$12,302.69	$12,302.69	$12,302.69
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 $1,071.52 / $1,548.82 / $2,570.40	Professional		$1,071.52	$1,548.82	$2,570.40