Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,013.50 / $3,675.00 / $16,346.40	Facility		$3,013.50	$3,675.00	$16,346.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,572.50 / $2,940.00 / $3,675.00	Professional		$2,572.50	$2,940.00	$3,675.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Facility		$1,500.00	$1,500.00	$1,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,500.00 / $1,500.00	Professional		$1,275.00	$1,500.00	$1,500.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,410.00 / $41,999.58 / $92,610.00	Facility		$4,410.00	$41,999.58	$92,610.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,226.25 / $5,145.00 / $68,163.70	Professional		$4,226.25	$5,145.00	$68,163.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,388.75 / $2,859.52 / $4,849.16	Facility		$2,388.75	$2,859.52	$4,849.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.14 / $17,713.50 / $17,713.50	Professional		$4,265.14	$17,713.50	$17,713.50
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 $1,543.50 / $2,205.00 / $3,675.00	Professional		$1,543.50	$2,205.00	$3,675.00