Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $7,079.46	Facility		$2,398.83	$3,981.07	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,951.21	Professional		$1,949.84	$2,344.23	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $64,565.42	Facility		$2,570.40	$4,897.79	$64,565.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $53,703.18	Professional		$2,570.40	$3,235.94	$53,703.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,677.35 / $4,677.35	Facility		$1,905.46	$4,677.35	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Professional		$14,125.38	$14,125.38	$14,125.38
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 $1,230.27 / $1,737.80 / $2,951.21	Professional		$1,230.27	$1,737.80	$2,951.21