Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,214.40 / $3,920.00 / $15,968.30	Facility		$3,214.40	$3,920.00	$15,968.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,744.00 / $3,096.80 / $3,920.00	Professional		$2,744.00	$3,096.80	$3,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,440.19 / $3,920.00 / $4,119.92	Facility		$2,440.19	$3,920.00	$4,119.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $3,920.00 / $3,920.00	Professional		$335.33	$3,920.00	$3,920.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,312.00 / $6,468.00 / $88,762.30	Facility		$4,312.00	$6,468.00	$88,762.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,194.39 / $5,096.00 / $72,195.89	Professional		$4,194.39	$5,096.00	$72,195.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,548.00 / $2,991.35 / $4,737.01	Facility		$2,548.00	$2,991.35	$4,737.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,549.64 / $18,894.40 / $18,894.40	Professional		$4,549.64	$18,894.40	$18,894.40
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 $2,352.00 / $2,352.00 / $4,312.00	Professional		$2,352.00	$2,352.00	$4,312.00