Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,526.25 / $6,739.33 / $29,976.50	Facility		$5,526.25	$6,739.33	$29,976.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,717.53 / $5,391.46 / $6,739.33	Professional		$4,717.53	$5,391.46	$6,739.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.88 / $426.88 / $426.88	Facility		$426.88	$426.88	$426.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.84 / $426.88 / $426.88	Professional		$362.84	$426.88	$426.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,087.20 / $41,999.58 / $169,831.10	Facility		$8,087.20	$41,999.58	$169,831.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,750.23 / $9,435.06 / $186,179.18	Professional		$7,750.23	$9,435.06	$186,179.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,380.56 / $5,243.87 / $8,892.54	Facility		$4,380.56	$5,243.87	$8,892.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,821.60 / $32,483.57 / $32,483.57	Professional		$7,821.60	$32,483.57	$32,483.57
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 $2,830.52 / $4,043.60 / $6,739.33	Professional		$2,830.52	$4,043.60	$6,739.33