Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,059.67 / $3,175.86 / $17,227.09	Facility		$3,059.67	$3,175.86	$17,227.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $3,098.40 / $3,873.00	Professional		$2,711.10	$3,098.40	$3,873.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $1,148.40	Facility		$1,148.40	$1,148.40	$1,148.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.14 / $1,148.40 / $1,148.40	Professional		$976.14	$1,148.40	$1,148.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,647.60 / $41,999.58 / $97,599.60	Facility		$4,647.60	$41,999.58	$97,599.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,453.95 / $5,422.20 / $71,835.75	Professional		$4,453.95	$5,422.20	$71,835.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $3,013.58 / $5,110.42	Facility		$2,517.44	$3,013.58	$5,110.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,494.99 / $18,667.86 / $18,667.86	Professional		$4,494.99	$18,667.86	$18,667.86
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 $1,626.66 / $2,323.80 / $3,873.00	Professional		$1,626.66	$2,323.80	$3,873.00