Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,765.00 / $2,870.00 / $15,568.00	Facility		$2,765.00	$2,870.00	$15,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,450.00 / $2,800.00 / $3,500.00	Professional		$2,450.00	$2,800.00	$3,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.16 / $239.16 / $239.16	Facility		$239.16	$239.16	$239.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $239.16 / $239.16	Professional		$203.28	$239.16	$239.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $36,750.00 / $88,200.00	Facility		$4,200.00	$36,750.00	$88,200.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,025.00 / $4,900.00 / $96,686.10	Professional		$4,025.00	$4,900.00	$96,686.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $2,723.35 / $4,618.25	Facility		$2,275.00	$2,723.35	$4,618.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,062.01 / $16,870.00 / $16,870.00	Professional		$4,062.01	$16,870.00	$16,870.00
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 $1,470.00 / $2,100.00 / $3,500.00	Professional		$1,470.00	$2,100.00	$3,500.00