Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,306.48 / $2,394.07 / $12,986.40	Facility		$2,306.48	$2,394.07	$12,986.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,043.72 / $2,335.67 / $2,919.60	Professional		$2,043.72	$2,335.67	$2,919.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $1,167.83	Facility		$1,167.83	$1,167.83	$1,167.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.66 / $1,167.83 / $1,167.83	Professional		$992.66	$1,167.83	$1,167.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,560.48 / $4,087.44 / $62,027.63	Facility		$2,560.48	$4,087.44	$62,027.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,560.48 / $3,328.62 / $53,770.08	Professional		$2,560.48	$3,328.62	$53,770.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $2,271.73 / $3,852.41	Facility		$1,897.74	$2,271.73	$3,852.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.35 / $14,072.47 / $14,072.47	Professional		$3,388.35	$14,072.47	$14,072.47
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 $1,226.23 / $1,751.76 / $2,919.60	Professional		$1,226.23	$1,751.76	$2,919.60