Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,585.78 / $13,182.57	Facility		$4,466.84	$7,585.78	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $5,370.32	Professional		$3,630.78	$4,365.16	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $56,234.13 / $138,038.43	Facility		$6,456.54	$56,234.13	$138,038.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,585.78 / $102,329.30	Professional		$6,025.60	$7,585.78	$102,329.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,709.64 / $8,709.64	Facility		$3,548.13	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Professional		$26,302.68	$26,302.68	$26,302.68
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 $2,290.87 / $3,311.31 / $5,495.41	Professional		$2,290.87	$3,311.31	$5,495.41