Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $5,248.07	Facility		$1,819.70	$3,019.95	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,137.96	Professional		$1,479.11	$1,737.80	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $512.86	Professional		$436.52	$512.86	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $32,359.37 / $56,234.13	Facility		$2,630.27	$32,359.37	$56,234.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $40,738.03	Professional		$2,398.83	$3,090.30	$40,738.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,548.13 / $3,548.13	Facility		$1,445.44	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
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 $933.25 / $1,318.26 / $2,187.76	Professional		$933.25	$1,318.26	$2,187.76