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 / $10,471.29	Facility		$1,096.48	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,344.23	Professional		$1,096.48	$1,288.25	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,715.19 / $11,220.18	Facility		$7,244.36	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,778.28	Professional		$1,047.13	$1,258.93	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,137.96	Facility		$1,174.90	$1,621.81	$2,137.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,995.26	Professional		$1,202.26	$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 $1,318.26 / $2,238.72 / $7,585.78	Professional		$1,318.26	$2,238.72	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,454.71	Professional		$1,071.52	$1,479.11	$2,454.71