Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.35 / $1,537.02 / $6,836.69	Facility		$1,260.35	$1,537.02	$6,836.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.91 / $1,229.61 / $1,537.02	Professional		$1,075.91	$1,229.61	$1,537.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.79 / $514.79 / $514.79	Facility		$514.79	$514.79	$514.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.58 / $514.79 / $514.79	Professional		$437.58	$514.79	$514.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,844.42 / $16,138.71 / $47,249.53	Facility		$1,844.42	$16,138.71	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,767.57 / $2,151.83 / $42,463.26	Professional		$1,767.57	$2,151.83	$42,463.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.06 / $1,195.96 / $2,028.09	Facility		$999.06	$1,195.96	$2,028.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.07 / $7,408.44 / $7,408.44	Professional		$1,784.07	$7,408.44	$7,408.44
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 Facility Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $1,844.42	Facility		$1,537.02	$1,537.02	$1,844.42
United Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $922.21 / $1,537.02	Professional		$645.54	$922.21	$1,537.02