Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,709.01 / $1,759.28 / $1,759.28	Professional		$1,709.01	$1,759.28	$1,759.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.19 / $203.55 / $203.55	Professional		$183.19	$203.55	$203.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,392.89 / $26,389.13 / $66,951.98	Facility		$3,392.89	$26,389.13	$66,951.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,890.24 / $3,518.55 / $46,287.78	Professional		$2,890.24	$3,518.55	$46,287.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,015.90 / $3,015.90 / $3,015.90	Facility		$3,015.90	$3,015.90	$3,015.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,916.99 / $3,205.80 / $12,113.87	Professional		$2,916.99	$3,205.80	$12,113.87
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 Facility Modifier Low / Median / High Price $4,950.00 / $4,950.00 / $4,950.00	Facility		$4,950.00	$4,950.00	$4,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,088.24 / $1,507.95 / $2,513.25	Professional		$1,088.24	$1,507.95	$2,513.25