Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $9,332.54	Facility		$3,162.28	$5,248.07	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $3,715.35	Professional		$2,570.40	$3,090.30	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,148.15	Professional		$977.24	$1,148.15	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $46,773.51 / $97,723.72	Facility		$4,570.88	$46,773.51	$97,723.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $72,443.60	Professional		$4,265.80	$5,370.32	$72,443.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,165.95 / $6,165.95	Facility		$2,511.89	$6,165.95	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Professional		$18,620.87	$18,620.87	$18,620.87
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 $1,621.81 / $2,344.23 / $3,890.45	Professional		$1,621.81	$2,344.23	$3,890.45