Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.69 / $2,219.13 / $9,870.67	Facility		$1,819.69	$2,219.13	$9,870.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,753.11 / $1,819.69 / $2,219.13	Professional		$1,753.11	$1,819.69	$2,219.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $1,549.20	Facility		$1,549.20	$1,549.20	$1,549.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.82 / $1,549.20 / $1,549.20	Professional		$1,316.82	$1,549.20	$1,549.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,946.04 / $2,219.13 / $29,190.60	Facility		$1,946.04	$2,219.13	$29,190.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,946.04 / $2,335.25 / $45,975.20	Professional		$1,946.04	$2,335.25	$45,975.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,442.43 / $1,693.41 / $2,662.96	Facility		$1,442.43	$1,693.41	$2,662.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,496.08 / $3,187.33 / $10,696.21	Professional		$2,496.08	$3,187.33	$10,696.21
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 $932.03 / $1,331.48 / $2,441.04	Professional		$932.03	$1,331.48	$2,441.04