Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,630.78	Professional		$1,318.26	$1,819.70	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,548.82	Professional		$1,318.26	$1,548.82	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $46,773.51 / $144,543.98	Facility		$6,456.54	$46,773.51	$144,543.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $100,000.00	Professional		$6,456.54	$7,585.78	$100,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $26,302.68 / $26,302.68	Professional		$6,309.57	$26,302.68	$26,302.68
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 $1,148.15 / $1,148.15 / $3,019.95	Professional		$1,148.15	$1,148.15	$3,019.95