Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $2,454.71	Professional		$1,698.24	$2,454.71	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $8,511.38	Professional		$338.84	$338.84	$8,511.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $46,773.51 / $131,825.67	Facility		$5,888.44	$46,773.51	$131,825.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,918.31 / $91,201.08	Professional		$5,888.44	$6,918.31	$91,201.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $23,988.33 / $23,988.33	Professional		$5,754.40	$23,988.33	$23,988.33
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 $1,513.56 / $1,513.56 / $3,981.07	Professional		$1,513.56	$1,513.56	$3,981.07