Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $6,025.60	Facility		$2,041.74	$3,388.44	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $2,511.89	Professional		$1,348.96	$1,995.26	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $371.54	Professional		$302.00	$354.81	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $37,153.52 / $56,234.13	Facility		$2,511.89	$37,153.52	$56,234.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $45,708.82	Professional		$2,691.53	$3,388.44	$45,708.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $3,981.07	Facility		$1,621.81	$3,981.07	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $12,022.64 / $12,022.64	Professional		$3,548.13	$12,022.64	$12,022.64
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 $1,047.13 / $1,479.11 / $2,511.89	Professional		$1,047.13	$1,479.11	$2,511.89