Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.65 / $1,996.70 / $10,830.90	Facility		$1,923.65	$1,996.70	$10,830.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,704.50 / $1,948.00 / $2,435.00	Professional		$1,704.50	$1,948.00	$2,435.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.34 / $121.34 / $121.34	Facility		$121.34	$121.34	$121.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $121.34 / $121.34	Professional		$103.13	$121.34	$121.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,922.00 / $31,959.38 / $61,362.00	Facility		$2,922.00	$31,959.38	$61,362.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,800.25 / $3,409.00 / $45,166.46	Professional		$2,800.25	$3,409.00	$45,166.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,582.75 / $1,894.67 / $3,212.98	Facility		$1,582.75	$1,894.67	$3,212.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.25 / $3,105.86 / $11,736.70	Professional		$1,826.25	$3,105.86	$11,736.70
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 $1,022.70 / $1,461.00 / $2,435.00	Professional		$1,022.70	$1,461.00	$2,435.00