Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $9,120.11	Facility		$1,096.48	$2,818.38	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $3,162.28	Professional		$1,174.90	$1,380.38	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $26,302.68	Facility		$8,912.51	$10,715.19	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,819.70	Professional		$1,096.48	$1,348.96	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,137.96	Facility		$1,202.26	$1,659.59	$2,137.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $1,995.26	Professional		$1,230.27	$1,659.59	$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 $1,348.96 / $2,137.96 / $6,918.31	Professional		$1,348.96	$2,137.96	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
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 $1,174.90 / $1,621.81 / $2,630.27	Professional		$1,174.90	$1,621.81	$2,630.27