Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $3,044.76	Facility		$1,557.09	$1,557.09	$3,044.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $21,537.01	Professional		$1,557.09	$1,557.09	$21,537.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,703.17 / $3,400.00 / $4,000.00	Professional		$1,703.17	$3,400.00	$4,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $797.50 / $7,975.00 / $16,200.00	Facility		$797.50	$7,975.00	$16,200.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $827.04 / $1,116.50 / $11,165.00	Professional		$827.04	$1,116.50	$11,165.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00