Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $2,398.83 / $4,786.30	Professional		$281.84	$2,398.83	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66,069.34 / $85,113.80 / $114,815.36	Facility		$66,069.34	$85,113.80	$114,815.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63,095.73 / $79,432.82 / $97,723.72	Professional		$63,095.73	$79,432.82	$97,723.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $67.61	Professional		$35.48	$44.67	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28