Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,220.17 / $4,220.17 / $23,464.10	Facility		$4,220.17	$4,220.17	$23,464.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,220.17 / $4,220.17 / $4,378.42	Professional		$4,220.17	$4,220.17	$4,378.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,192.10 / $3,193.12 / $3,756.61	Professional		$2,192.10	$3,193.12	$3,756.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,612.83 / $1,675.35 / $1,695.58	Facility		$1,612.83	$1,675.35	$1,695.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $979.22 / $1,497.63 / $125,998.74	Professional		$979.22	$1,497.63	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,518.98 / $2,518.98 / $4,483.93	Facility		$2,518.98	$2,518.98	$4,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $6,331.50	Professional		$4,483.93	$4,483.93	$6,331.50
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 $5,275.21 / $5,275.21 / $5,275.21	Professional		$5,275.21	$5,275.21	$5,275.21