Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.16 / $1,558.17 / $8,452.09	Facility		$1,501.16	$1,558.17	$8,452.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,330.14 / $1,520.16 / $1,900.20	Professional		$1,330.14	$1,520.16	$1,900.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $500.00 / $500.00	Professional		$425.00	$500.00	$500.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,280.23 / $24,940.13 / $50,623.28	Facility		$2,280.23	$24,940.13	$50,623.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,185.23 / $2,660.28 / $35,248.80	Professional		$2,185.23	$2,660.28	$35,248.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,235.13 / $1,478.55 / $2,507.31	Facility		$1,235.13	$1,478.55	$2,507.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.15 / $2,423.71 / $9,158.95	Professional		$1,425.15	$2,423.71	$9,158.95
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 $798.08 / $1,140.11 / $1,900.20	Professional		$798.08	$1,140.11	$1,900.20