Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $2,501.75	Facility		$1,908.26	$1,908.26	$2,501.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $1,908.26 / $11,002.56	Professional		$1,908.26	$1,908.26	$11,002.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,703.17 / $4,183.89 / $4,800.00	Professional		$1,703.17	$4,183.89	$4,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $736.57 / $7,365.71 / $15,012.00	Facility		$736.57	$7,365.71	$15,012.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $763.85 / $1,031.20 / $10,311.99	Professional		$763.85	$1,031.20	$10,311.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $4,300.60	Facility		$64.00	$64.00	$4,300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00