Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $3,864.00	Facility		$3,864.00	$3,864.00	$3,864.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $4,008.90	Professional		$3,864.00	$3,864.00	$4,008.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,968.00 / $2,968.00 / $3,227.40	Professional		$2,968.00	$2,968.00	$3,227.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $6,410.88 / $55,999.44	Facility		$93.11	$6,410.88	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $76.48 / $47,249.53	Professional		$66.51	$76.48	$47,249.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,968.00 / $4,105.50 / $4,105.50	Professional		$2,968.00	$4,105.50	$4,105.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,043.90 / $4,200.00 / $4,326.00	Professional		$4,043.90	$4,200.00	$4,326.00