Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,490.16 / $5,475.80 / $24,356.40	Facility		$4,490.16	$5,475.80	$24,356.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,833.06 / $4,380.64 / $5,475.80	Professional		$3,833.06	$4,380.64	$5,475.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,702.85 / $1,702.85 / $1,702.85	Facility		$1,702.85	$1,702.85	$1,702.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.42 / $1,702.85 / $1,702.85	Professional		$1,447.42	$1,702.85	$1,702.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,570.96 / $41,999.58 / $137,990.20	Facility		$6,570.96	$41,999.58	$137,990.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,297.17 / $7,666.12 / $151,275.60	Professional		$6,297.17	$7,666.12	$151,275.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,559.27 / $4,260.72 / $7,225.32	Facility		$3,559.27	$4,260.72	$7,225.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,354.98 / $26,393.36 / $26,393.36	Professional		$6,354.98	$26,393.36	$26,393.36
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 $2,371.02 / $3,285.48 / $5,475.80	Professional		$2,371.02	$3,285.48	$5,475.80