Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,454.71	Professional		$1,698.24	$1,995.26	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $33,113.11 / $67,608.30	Facility		$3,019.95	$33,113.11	$67,608.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $46,773.51	Professional		$3,019.95	$3,548.13	$46,773.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $12,022.64 / $12,022.64	Professional		$2,884.03	$12,022.64	$12,022.64
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 $1,513.56 / $1,513.56 / $3,981.07	Professional		$1,513.56	$1,513.56	$3,981.07