Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $7,585.78	Facility		$2,570.40	$4,365.16	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,511.89 / $3,090.30	Professional		$478.63	$2,511.89	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $208.93	Professional		$177.83	$208.93	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $45,708.82 / $85,113.80	Facility		$3,715.35	$45,708.82	$85,113.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $58,884.37	Professional		$3,467.37	$4,466.84	$58,884.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,011.87 / $5,011.87	Facility		$2,041.74	$5,011.87	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
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 $1,318.26 / $1,905.46 / $3,162.28	Professional		$1,318.26	$1,905.46	$3,162.28