Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $3,019.95	Facility		$1,047.13	$1,737.80	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,230.27	Professional		$851.14	$1,000.00	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $18,620.87 / $45,708.82	Facility		$1,513.56	$18,620.87	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $23,442.29	Professional		$1,380.38	$1,778.28	$23,442.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,884.03 / $2,884.03	Facility		$831.76	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
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 $537.03 / $758.58 / $1,258.93	Professional		$537.03	$758.58	$1,258.93