Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $5,370.32	Facility		$1,819.70	$3,019.95	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,137.96	Professional		$1,479.11	$1,778.28	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Professional		$1,548.82	$1,548.82	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $41,686.94	Facility		$1,949.84	$2,041.74	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $29,512.09	Professional		$1,949.84	$2,238.72	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,548.13 / $3,548.13	Facility		$1,445.44	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $10,715.19 / $10,715.19	Professional		$3,162.28	$10,715.19	$10,715.19
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 $933.25 / $1,318.26 / $2,238.72	Professional		$933.25	$1,318.26	$2,238.72