Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $11,481.54	Facility		$3,890.45	$6,606.93	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $4,677.35	Professional		$3,235.94	$3,801.89	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,786.30 / $5,011.87	Facility		$4,265.80	$4,786.30	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $50,118.72 / $120,226.44	Facility		$5,623.41	$50,118.72	$120,226.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,760.83 / $89,125.09	Professional		$5,248.07	$6,760.83	$89,125.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $7,585.78	Facility		$3,090.30	$7,585.78	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Professional		$22,908.68	$22,908.68	$22,908.68
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 $1,995.26 / $2,884.03 / $4,786.30	Professional		$1,995.26	$2,884.03	$4,786.30