Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $7,762.47	Facility		$2,630.27	$4,365.16	$7,762.47
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 $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $45,708.82 / $81,283.05	Facility		$3,801.89	$45,708.82	$81,283.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,466.84 / $58,884.37	Professional		$3,548.13	$4,466.84	$58,884.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,128.61 / $5,128.61	Facility		$2,089.30	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Professional		$15,488.17	$15,488.17	$15,488.17
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 $1,348.96 / $1,905.46 / $3,235.94	Professional		$1,348.96	$1,905.46	$3,235.94