Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,603.70 / $1,664.60 / $9,029.44	Facility		$1,603.70	$1,664.60	$9,029.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,421.00 / $1,624.00 / $2,030.00	Professional		$1,421.00	$1,624.00	$2,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $304.00 / $304.00	Facility		$304.00	$304.00	$304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $304.00 / $304.00	Professional		$258.39	$304.00	$304.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,436.00 / $26,643.75 / $54,078.74	Facility		$2,436.00	$26,643.75	$54,078.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,334.50 / $2,842.00 / $37,654.83	Professional		$2,334.50	$2,842.00	$37,654.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,319.50 / $1,579.54 / $2,678.59	Facility		$1,319.50	$1,579.54	$2,678.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,355.94 / $9,784.60 / $9,784.60	Professional		$2,355.94	$9,784.60	$9,784.60
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 Facility Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,436.00	Facility		$2,030.00	$2,030.00	$2,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,218.00 / $2,030.00	Professional		$852.60	$1,218.00	$2,030.00