Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $3,019.95	Facility		$1,047.13	$1,737.80	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,230.27	Professional		$851.14	$1,000.00	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $19,054.61 / $45,708.82	Facility		$1,479.11	$19,054.61	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $23,442.29	Professional		$1,380.38	$1,778.28	$23,442.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,041.74 / $2,041.74	Facility		$812.83	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
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 $524.81 / $758.58 / $1,258.93	Professional		$524.81	$758.58	$1,258.93