Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $10,471.29	Facility		$1,258.93	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,818.38	Professional		$1,258.93	$1,513.56	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,715.19 / $11,220.18	Facility		$8,511.38	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,290.87	Professional		$1,230.27	$1,479.11	$2,290.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,454.71	Facility		$1,348.96	$1,862.09	$2,454.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,290.87	Professional		$1,380.38	$1,862.09	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,570.40 / $2,570.40	Facility		$34.67	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $10,000.00	Professional		$1,548.82	$2,511.89	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
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 $1,288.25 / $1,819.70 / $3,019.95	Professional		$1,288.25	$1,819.70	$3,019.95