Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.74 / $2,425.86 / $13,487.80	Facility		$1,861.74	$2,425.86	$13,487.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,861.74 / $2,425.86 / $3,360.00	Professional		$1,861.74	$2,425.86	$3,360.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1,286.65 / $1,995.05	Facility		$0.02	$1,286.65	$1,995.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,260.00 / $3,570.00 / $3,906.00	Professional		$2,260.00	$3,570.00	$3,906.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,887.74 / $4,887.74 / $4,887.74	Facility		$4,887.74	$4,887.74	$4,887.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,157.62 / $4,220.93 / $7,855.29	Professional		$3,157.62	$4,220.93	$7,855.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.02 / $3,384.12 / $4,588.29	Facility		$798.02	$3,384.12	$4,588.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,114.71 / $3,384.12 / $19,187.84	Professional		$3,114.71	$3,384.12	$19,187.84
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 $4,200.00 / $4,200.00 / $4,200.00	Professional		$4,200.00	$4,200.00	$4,200.00