Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,590.71 / $3,159.42 / $14,053.10	Facility		$2,590.71	$3,159.42	$14,053.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,211.59 / $2,527.54 / $3,159.42	Professional		$2,211.59	$2,527.54	$3,159.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $500.00 / $645.00	Professional		$425.00	$500.00	$645.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,770.69 / $4,423.18 / $67,119.97	Facility		$2,770.69	$4,423.18	$67,119.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,770.69 / $3,601.90 / $58,184.49	Professional		$2,770.69	$3,601.90	$58,184.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,053.62 / $2,458.34 / $4,168.85	Facility		$2,053.62	$2,458.34	$4,168.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,666.57 / $15,228.40 / $15,228.40	Professional		$3,666.57	$15,228.40	$15,228.40
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 $1,326.96 / $1,895.65 / $3,159.42	Professional		$1,326.96	$1,895.65	$3,159.42