Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,624.00 / $3,200.00 / $14,233.60	Facility		$2,624.00	$3,200.00	$14,233.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,240.00 / $2,560.00 / $3,200.00	Professional		$2,240.00	$2,560.00	$3,200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $1,148.40	Facility		$1,148.40	$1,148.40	$1,148.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.14 / $1,148.40 / $1,148.40	Professional		$976.14	$1,148.40	$1,148.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,840.00 / $41,999.58 / $80,640.00	Facility		$3,840.00	$41,999.58	$80,640.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,680.00 / $4,480.00 / $59,355.99	Professional		$3,680.00	$4,480.00	$59,355.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,080.00 / $2,489.92 / $4,222.39	Facility		$2,080.00	$2,489.92	$4,222.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,714.13 / $15,424.00 / $15,424.00	Professional		$3,714.13	$15,424.00	$15,424.00
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 $1,344.00 / $1,920.00 / $3,200.00	Professional		$1,344.00	$1,920.00	$3,200.00