Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.47 / $1,291.49 / $1,343.15	Facility		$890.47	$1,291.49	$1,343.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.08 / $1,291.49 / $1,415.50	Professional		$1,153.08	$1,291.49	$1,415.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,269.28 / $1,425.38 / $1,462.25	Professional		$1,269.28	$1,425.38	$1,462.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,035.31 / $3,708.98 / $4,249.01	Facility		$2,035.31	$3,708.98	$4,249.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,578.05 / $3,319.54 / $4,477.67	Professional		$2,578.05	$3,319.54	$4,477.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $3,180.17	Facility		$1,482.94	$1,482.94	$3,180.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,482.94 / $11,750.77	Professional		$1,260.50	$1,482.94	$11,750.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.57 / $1,353.86 / $1,789.04	Professional		$902.57	$1,353.86	$1,789.04