Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,623.41 / $10,964.78	Facility		$1,071.52	$5,623.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,238.72	Professional		$1,348.96	$1,905.46	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,888.44 / $38,018.94	Facility		$5,370.32	$5,888.44	$38,018.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,445.44	Professional		$1,122.02	$1,318.26	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $38,904.51 / $64,565.42	Facility		$2,951.21	$38,904.51	$64,565.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $38,018.94 / $66,069.34	Professional		$2,951.21	$38,018.94	$66,069.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $3,630.78	Professional		$1,778.28	$2,754.23	$3,630.78