Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,802.65 / $2,198.35 / $9,778.26	Facility		$1,802.65	$2,198.35	$9,778.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,538.85 / $1,758.68 / $2,198.35	Professional		$1,538.85	$1,758.68	$2,198.35
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 $2,638.02 / $23,082.68 / $55,398.42	Facility		$2,638.02	$23,082.68	$55,398.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,528.10 / $3,077.69 / $60,728.22	Professional		$2,528.10	$3,077.69	$60,728.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,428.93 / $1,710.54 / $2,900.73	Facility		$1,428.93	$1,710.54	$2,900.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,551.17 / $10,596.05 / $10,596.05	Professional		$2,551.17	$10,596.05	$10,596.05
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 $923.31 / $1,319.01 / $2,198.35	Professional		$923.31	$1,319.01	$2,198.35