Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.78 / $2,279.00 / $10,137.00	Facility		$1,868.78	$2,279.00	$10,137.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,549.72 / $2,279.00 / $2,279.00	Professional		$1,549.72	$2,279.00	$2,279.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Facility		$800.00	$800.00	$800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $800.00 / $800.00	Professional		$680.00	$800.00	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,734.80 / $23,929.50 / $57,430.80	Facility		$2,734.80	$23,929.50	$57,430.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,620.85 / $3,190.60 / $62,962.20	Professional		$2,620.85	$3,190.60	$62,962.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,481.35 / $1,773.29 / $3,007.14	Facility		$1,481.35	$1,773.29	$3,007.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,709.25 / $2,906.90 / $10,984.78	Professional		$1,709.25	$2,906.90	$10,984.78
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 $1,367.40 / $1,367.40 / $2,506.90	Professional		$1,367.40	$1,367.40	$2,506.90