Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,698.24	Facility		$1,096.48	$1,380.38	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,570.40	Professional		$1,202.26	$1,548.82	$2,570.40
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 $1,288.25 / $1,584.89 / $2,187.76	Professional		$1,288.25	$1,584.89	$2,187.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,137.96	Facility		$1,023.29	$1,621.81	$2,137.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,995.26	Professional		$1,174.90	$1,621.81	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $2,238.72	Facility		$34.67	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $10,471.29	Professional		$1,659.59	$2,511.89	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
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 $1,348.96 / $1,949.84 / $3,019.95	Professional		$1,348.96	$1,949.84	$3,019.95