Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $6,918.31 / $12,022.64	Facility		$4,073.80	$6,918.31	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $5,011.87	Professional		$3,467.37	$4,073.80	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $5,248.07	Facility		$4,168.69	$5,011.87	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $52,480.75 / $125,892.54	Facility		$5,888.44	$52,480.75	$125,892.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,079.46 / $93,325.43	Professional		$5,495.41	$7,079.46	$93,325.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,943.28 / $7,943.28	Facility		$3,235.94	$7,943.28	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Professional		$23,988.33	$23,988.33	$23,988.33
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 $2,089.30 / $3,019.95 / $5,011.87	Professional		$2,089.30	$3,019.95	$5,011.87