Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $5,495.41	Facility		$1,862.09	$3,090.30	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,187.76	Professional		$1,513.56	$1,778.28	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $794.33	Professional		$676.08	$794.33	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $33,884.42 / $57,543.99	Facility		$2,691.53	$33,884.42	$57,543.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $42,657.95	Professional		$2,511.89	$3,162.28	$42,657.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,630.78 / $3,630.78	Facility		$1,479.11	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $10,964.78 / $10,964.78	Professional		$2,630.27	$10,964.78	$10,964.78
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 $954.99 / $1,380.38 / $2,290.87	Professional		$954.99	$1,380.38	$2,290.87