Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,818.38 / $10,471.29	Facility		$1,288.25	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,691.53	Professional		$1,348.96	$1,584.89	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,715.19 / $11,220.18	Facility		$5,888.44	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,949.84	Professional		$1,230.27	$1,445.44	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,511.89	Facility		$1,380.38	$1,905.46	$2,511.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,290.87	Professional		$1,288.25	$1,862.09	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,630.27 / $2,630.27	Facility		$34.67	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $7,244.36	Professional		$1,621.81	$2,691.53	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,288.25	Professional		$32.36	$33.11	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,760.83 / $15,488.17	Facility		$1,174.90	$6,760.83	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,162.28	Professional		$1,348.96	$1,995.26	$3,162.28