Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,679.70 / $1,743.48 / $9,457.34	Facility		$1,679.70	$1,743.48	$9,457.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.34 / $1,700.96 / $2,126.19	Professional		$1,488.34	$1,700.96	$2,126.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $21.15 / $21.15	Facility		$21.15	$21.15	$21.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $21.15 / $21.15	Professional		$17.97	$21.15	$21.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,551.44 / $27,906.38 / $53,580.24	Facility		$2,551.44	$27,906.38	$53,580.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,445.13 / $2,976.68 / $39,436.71	Professional		$2,445.13	$2,976.68	$39,436.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,382.03 / $1,654.40 / $2,805.52	Facility		$1,382.03	$1,654.40	$2,805.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,467.73 / $10,248.28 / $10,248.28	Professional		$2,467.73	$10,248.28	$10,248.28
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 $2,126.19 / $2,126.19 / $2,551.44	Facility		$2,126.19	$2,126.19	$2,551.44
United Facility/Professional Professional Modifier Low / Median / High Price $956.79 / $1,275.72 / $2,338.82	Professional		$956.79	$1,275.72	$2,338.82