Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,701.92 / $2,975.14 / $17,129.40	Facility		$2,701.92	$2,975.14	$17,129.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,701.92 / $3,157.30 / $6,893.03	Professional		$2,701.92	$3,157.30	$6,893.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.00 / $930.00 / $930.00	Professional		$837.00	$930.00	$930.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,070.39 / $53,899.46 / $61,249.39	Facility		$4,070.39	$53,899.46	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,842.00 / $3,805.81 / $15,400.00	Professional		$2,842.00	$3,805.81	$15,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.88 / $3,825.88 / $3,825.88	Facility		$3,825.88	$3,825.88	$3,825.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,821.49 / $2,821.49 / $18,313.20	Professional		$2,821.49	$2,821.49	$18,313.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,740.89 / $3,740.89 / $3,740.89	Professional		$3,740.89	$3,740.89	$3,740.89
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.07 / $3,680.43 / $4,921.76	Professional		$461.07	$3,680.43	$4,921.76