Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,396.75 / $2,396.75 / $2,396.75	Facility		$2,396.75	$2,396.75	$2,396.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,063.02 / $2,427.09 / $2,487.77	Professional		$2,063.02	$2,427.09	$2,487.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.24 / $239.16 / $239.16	Professional		$215.24	$239.16	$239.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,926.68 / $5,764.33 / $80,816.34	Facility		$2,926.68	$5,764.33	$80,816.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,660.62 / $3,591.84 / $62,857.16	Professional		$2,660.62	$3,591.84	$62,857.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,640.63 / $3,640.63 / $3,640.63	Facility		$3,640.63	$3,640.63	$3,640.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,520.99 / $3,869.61 / $14,623.21	Professional		$3,520.99	$3,869.61	$14,623.21
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 $1,820.32 / $1,820.32 / $4,860.24	Professional		$1,820.32	$1,820.32	$4,860.24