Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,306.48 / $2,394.07 / $2,919.60	Facility		$2,306.48	$2,394.07	$2,919.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,043.72 / $2,452.46 / $2,919.60	Professional		$2,043.72	$2,452.46	$2,919.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,167.80 / $1,167.80 / $1,167.80	Facility		$1,167.80	$1,167.80	$1,167.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.66 / $1,167.83 / $1,167.83	Professional		$992.66	$1,167.83	$1,167.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $41,999.58 / $88,200.00	Facility		$4,200.00	$41,999.58	$88,200.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,025.00 / $4,900.00 / $64,917.81	Professional		$4,025.00	$4,900.00	$64,917.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $2,670.85 / $4,025.00	Facility		$2,275.00	$2,670.85	$4,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,062.01 / $16,870.00 / $16,870.00	Professional		$4,062.01	$16,870.00	$16,870.00
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 $1,264.19 / $1,751.76 / $2,919.60	Professional		$1,264.19	$1,751.76	$2,919.60