Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $10,471.29	Facility		$1,096.48	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,905.46	Professional		$1,096.48	$1,096.48	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $10,964.78	Facility		$2,630.27	$4,073.80	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $741.31 / $891.25	Professional		$0.02	$741.31	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60,255.96 / $81,283.05 / $107,151.93	Facility		$60,255.96	$81,283.05	$107,151.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60,255.96 / $72,443.60 / $87,096.36	Professional		$60,255.96	$72,443.60	$87,096.36
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 $1,548.82 / $3,715.35 / $3,715.35	Professional		$1,548.82	$3,715.35	$3,715.35
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 $724.44 / $2,511.89 / $10,000.00	Facility		$724.44	$2,511.89	$10,000.00