Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,934.36 / $2,007.82 / $10,891.20	Facility		$1,934.36	$2,007.82	$10,891.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,713.99 / $1,958.85 / $2,448.56	Professional		$1,713.99	$1,958.85	$2,448.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Facility		$9.07	$9.07	$9.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $9.07 / $9.07	Professional		$7.70	$9.07	$9.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,938.27 / $32,137.35 / $61,703.71	Facility		$2,938.27	$32,137.35	$61,703.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,815.84 / $3,427.98 / $45,418.57	Professional		$2,815.84	$3,427.98	$45,418.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,591.56 / $1,905.22 / $3,230.87	Facility		$1,591.56	$1,905.22	$3,230.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,841.91 / $11,802.06 / $11,802.06	Professional		$2,841.91	$11,802.06	$11,802.06
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 $1,028.40 / $1,469.14 / $2,448.56	Professional		$1,028.40	$1,469.14	$2,448.56