Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $9,332.54	Facility		$3,162.28	$5,248.07	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $3,890.45	Professional		$2,570.40	$3,162.28	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $4,073.80	Facility		$3,467.37	$3,890.45	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $575.44	Professional		$489.78	$575.44	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $46,773.51 / $97,723.72	Facility		$4,570.88	$46,773.51	$97,723.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $72,443.60	Professional		$4,265.80	$5,370.32	$72,443.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,165.95 / $6,165.95	Facility		$2,511.89	$6,165.95	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Professional		$18,620.87	$18,620.87	$18,620.87
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 $1,621.81 / $2,344.23 / $3,890.45	Professional		$1,621.81	$2,344.23	$3,890.45