Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,659.59	Facility		$1,000.00	$1,288.25	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,454.71	Professional		$1,096.48	$1,479.11	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,995.26	Professional		$1,202.26	$1,445.44	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,819.70	Facility		$954.99	$1,380.38	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,862.09	Professional		$1,122.02	$1,513.56	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,089.30 / $2,089.30	Facility		$34.67	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $9,549.93	Professional		$1,513.56	$2,344.23	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,412.54	Professional		$32.36	$33.11	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,951.21	Professional		$1,230.27	$1,862.09	$2,951.21