Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,585.78	Facility		$2,570.40	$4,365.16	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,090.30	Professional		$2,137.96	$2,511.89	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,248.07 / $69,183.10	Facility		$2,754.23	$5,248.07	$69,183.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $57,543.99	Professional		$2,754.23	$3,467.37	$57,543.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,011.87 / $5,011.87	Facility		$2,041.74	$5,011.87	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
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 $1,318.26 / $1,905.46 / $3,162.28	Professional		$1,318.26	$1,905.46	$3,162.28