Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,111.21 / $2,574.65 / $11,452.00	Facility		$2,111.21	$2,574.65	$11,452.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,802.26 / $2,059.71 / $2,574.65	Professional		$1,802.26	$2,059.71	$2,574.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $4,800.00	Facility		$4,800.00	$4,800.00	$4,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,042.20 / $4,800.00 / $4,800.00	Professional		$4,042.20	$4,800.00	$4,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,089.58 / $27,033.83 / $64,881.18	Facility		$3,089.58	$27,033.83	$64,881.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,960.85 / $3,604.51 / $71,129.52	Professional		$2,960.85	$3,604.51	$71,129.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,673.52 / $2,003.34 / $3,397.25	Facility		$1,673.52	$2,003.34	$3,397.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,987.90 / $12,409.81 / $12,409.81	Professional		$2,987.90	$12,409.81	$12,409.81
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 $1,114.82 / $1,544.79 / $2,574.65	Professional		$1,114.82	$1,544.79	$2,574.65