Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.69 / $1,956.69 / $1,956.69	Facility		$1,956.69	$1,956.69	$1,956.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.77 / $1,956.69 / $2,935.03	Professional		$1,373.77	$1,956.69	$2,935.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $89.20 / $157.74	Professional		$75.81	$89.20	$157.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,106.13 / $1,106.13 / $21,433.30	Facility		$1,106.13	$1,106.13	$21,433.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $772.59 / $987.96 / $1,778.33	Professional		$772.59	$987.96	$1,778.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,382.66 / $1,382.66 / $1,382.66	Facility		$1,382.66	$1,382.66	$1,382.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,340.55 / $4,340.55 / $4,342.10	Professional		$4,340.55	$4,340.55	$4,342.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $830.00 / $830.00	Facility		$830.00	$830.00	$830.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $910.64 / $1,351.07	Professional		$84.05	$910.64	$1,351.07