Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $4,897.79	Facility		$1,659.59	$2,754.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $1,949.84	Professional		$1,348.96	$1,621.81	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $302.00	Professional		$257.04	$302.00	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $30,902.95 / $56,234.13	Facility		$2,398.83	$30,902.95	$56,234.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $38,018.94	Professional		$2,238.72	$2,818.38	$38,018.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,235.94 / $3,235.94	Facility		$1,318.26	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
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 $851.14 / $1,230.27 / $2,041.74	Professional		$851.14	$1,230.27	$2,041.74