Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.51 / $1,095.58 / $5,942.92	Facility		$1,055.51	$1,095.58	$5,942.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.26 / $1,068.86 / $1,336.09	Professional		$935.26	$1,068.86	$1,336.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $423.14 / $423.14	Facility		$423.14	$423.14	$423.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.66 / $423.14 / $423.14	Professional		$359.66	$423.14	$423.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,469.70 / $2,204.55 / $41,999.58	Facility		$1,469.70	$2,204.55	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,429.62 / $1,803.72 / $24,609.48	Professional		$1,429.62	$1,803.72	$24,609.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.46 / $1,039.60 / $1,762.97	Facility		$868.46	$1,039.60	$1,762.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,550.47 / $6,439.95 / $6,439.95	Professional		$1,550.47	$6,439.95	$6,439.95
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 $578.53 / $801.65 / $1,336.09	Professional		$578.53	$801.65	$1,336.09