Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.15 / $1,384.91 / $2,054.64	Facility		$1,120.15	$1,384.91	$2,054.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,251.98 / $1,443.80 / $2,054.64	Professional		$1,251.98	$1,443.80	$2,054.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,312.26 / $1,543.84 / $2,257.19	Professional		$1,312.26	$1,543.84	$2,257.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,219.06 / $1,736.08 / $2,002.70	Facility		$1,219.06	$1,736.08	$2,002.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,351.74 / $1,748.48 / $2,790.14	Professional		$1,351.74	$1,748.48	$2,790.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,813.29 / $2,281.71 / $2,281.71	Facility		$1,813.29	$2,281.71	$2,281.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,555.53 / $2,240.05 / $3,456.23	Professional		$1,555.53	$2,240.05	$3,456.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $912.96 / $1,698.90	Professional		$32.34	$912.96	$1,698.90
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,682.03 / $2,388.48 / $3,480.73	Professional		$1,682.03	$2,388.48	$3,480.73