Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.10 / $1,328.92 / $2,012.24	Facility		$1,085.10	$1,328.92	$2,012.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.58 / $1,485.71 / $2,012.24	Professional		$1,215.58	$1,485.71	$2,012.24
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 $1,294.13 / $1,522.51 / $2,205.90	Professional		$1,294.13	$1,522.51	$2,205.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,186.91 / $1,691.35 / $1,951.09	Facility		$1,186.91	$1,691.35	$1,951.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,316.38 / $1,691.35 / $2,718.25	Professional		$1,316.38	$1,691.35	$2,718.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,773.15 / $2,222.92 / $2,222.92	Facility		$1,773.15	$2,222.92	$2,222.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,480.60 / $2,209.08 / $3,385.64	Professional		$1,480.60	$2,209.08	$3,385.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $906.47 / $1,643.09	Professional		$32.34	$906.47	$1,643.09
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 $1,612.21 / $2,176.48 / $3,270.43	Professional		$1,612.21	$2,176.48	$3,270.43