Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.57 / $1,300.00 / $1,300.00	Facility		$94.57	$1,300.00	$1,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,500.00	Professional		$1,300.00	$1,300.00	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,948.00 / $2,921.00 / $4,378.00	Facility		$1,948.00	$2,921.00	$4,378.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $823.31 / $968.60 / $983.10	Professional		$823.31	$968.60	$983.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53,899.46 / $53,899.46 / $61,249.39	Facility		$53,899.46	$53,899.46	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.13 / $1,130.13 / $1,130.13	Facility		$1,130.13	$1,130.13	$1,130.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,514.67 / $3,132.14 / $3,132.14	Professional		$2,514.67	$3,132.14	$3,132.14
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 $76.92 / $76.92 / $76.92	Professional		$76.92	$76.92	$76.92