Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.98 / $1,362.98 / $1,362.98	Facility		$1,362.98	$1,362.98	$1,362.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,508.35 / $3,133.52 / $7,001.33	Professional		$1,508.35	$3,133.52	$7,001.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.33 / $1,315.43 / $1,849.26	Professional		$1,055.33	$1,315.43	$1,849.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,200.49 / $1,734.70 / $2,001.10	Facility		$1,200.49	$1,734.70	$2,001.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,211.19 / $1,734.70 / $2,478.14	Professional		$1,211.19	$1,734.70	$2,478.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.35 / $1,819.88 / $2,141.04	Professional		$1,549.35	$1,819.88	$2,141.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,610.79	Professional		$32.34	$32.34	$1,610.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.04 / $1,704.52 / $2,534.96	Professional		$1,201.04	$1,704.52	$2,534.96