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 $699.20 / $699.20 / $699.20	Facility		$699.20	$699.20	$699.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.32 / $699.20 / $699.20	Professional		$594.32	$699.20	$699.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,603.31 / $17,536.18 / $42,086.84	Facility		$1,603.31	$17,536.18	$42,086.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,536.50 / $1,870.53 / $24,785.26	Professional		$1,536.50	$1,870.53	$24,785.26
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 $561.16 / $801.65 / $1,336.09	Professional		$561.16	$801.65	$1,336.09