Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $8,511.38	Facility		$1,174.90	$2,238.72	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $2,454.71	Professional		$1,071.52	$1,258.93	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $9,549.93	Facility		$2,454.71	$3,981.07	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,621.81	Professional		$1,000.00	$1,230.27	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,137.96	Facility		$1,096.48	$1,548.82	$2,137.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,862.09	Professional		$1,258.93	$1,513.56	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $2,089.30	Facility		$1,862.09	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $7,244.36	Professional		$1,258.93	$1,949.84	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $660.69	Professional		$32.36	$33.11	$660.69
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 / $1,445.44 / $2,398.83	Professional		$1,071.52	$1,445.44	$2,398.83