Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,332.54 / $16,218.10	Facility		$5,495.41	$9,332.54	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $6,606.93	Professional		$4,466.84	$5,370.32	$6,606.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $56,234.13 / $169,824.37	Facility		$7,943.28	$56,234.13	$169,824.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,332.54 / $125,892.54	Professional		$7,413.10	$9,332.54	$125,892.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,715.19 / $10,715.19	Facility		$4,365.16	$10,715.19	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32,359.37 / $32,359.37 / $32,359.37	Professional		$32,359.37	$32,359.37	$32,359.37
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 $2,818.38 / $4,073.80 / $6,760.83	Professional		$2,818.38	$4,073.80	$6,760.83