Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.00 / $1,340.00 / $7,450.40	Facility		$1,340.00	$1,340.00	$7,450.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.00 / $1,340.00 / $1,390.25	Professional		$1,340.00	$1,340.00	$1,390.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.25 / $1,100.00 / $1,591.25	Professional		$268.25	$1,100.00	$1,591.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,993.29 / $1,993.29 / $1,993.29	Facility		$1,993.29	$1,993.29	$1,993.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,637.35 / $1,863.73 / $125,998.74	Professional		$1,637.35	$1,863.73	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,871.18	Facility		$1,380.10	$1,380.10	$1,871.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $7,825.13	Professional		$1,380.10	$1,380.10	$7,825.13
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 Professional Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $1,675.00	Professional		$1,675.00	$1,675.00	$1,675.00