Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.51 / $2,442.85 / $14,064.70	Facility		$2,218.51	$2,442.85	$14,064.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,218.51 / $2,592.42 / $4,414.60	Professional		$2,218.51	$2,592.42	$4,414.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.50 / $465.00 / $465.00	Professional		$418.50	$465.00	$465.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,371.80 / $53,899.46 / $61,249.39	Facility		$3,371.80	$53,899.46	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,354.23 / $3,371.80 / $13,860.00	Professional		$2,354.23	$3,371.80	$13,860.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,158.15 / $3,158.15 / $3,158.15	Facility		$3,158.15	$3,158.15	$3,158.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $15,170.03	Professional		$2,316.69	$2,316.69	$15,170.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,748.80 / $2,748.80 / $2,748.80	Professional		$2,748.80	$2,748.80	$2,748.80
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.52 / $2,658.17 / $4,764.14	Professional		$754.52	$2,658.17	$4,764.14