Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.48 / $1,002.48 / $1,481.92	Facility		$1,002.48	$1,002.48	$1,481.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.61 / $1,229.80 / $1,481.92	Professional		$645.61	$1,229.80	$1,481.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.20 / $1,095.90 / $1,685.57	Professional		$983.20	$1,095.90	$1,685.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.07 / $377.80 / $3,778.09	Facility		$206.07	$377.80	$3,778.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.97 / $377.80 / $4,482.09	Professional		$228.97	$377.80	$4,482.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.31 / $1,082.51 / $2,163.85	Facility		$173.31	$1,082.51	$2,163.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.31 / $1,082.51 / $1,892.74	Professional		$173.31	$1,082.51	$1,892.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.81 / $200.29 / $2,002.98	Professional		$140.81	$200.29	$2,002.98
United Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $963.59 / $1,392.92	Professional		$642.40	$963.59	$1,392.92