Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $9,772.37	Facility		$851.14	$2,818.38	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,905.46	Professional		$1,174.90	$1,380.38	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $9,549.93	Facility		$2,630.27	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,905.46	Professional		$1,096.48	$1,288.25	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,819.70	Facility		$1,122.02	$1,513.56	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,862.09	Professional		$1,122.02	$1,584.89	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $2,290.87	Facility		$1,380.38	$2,089.30	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $6,025.60	Professional		$1,202.26	$2,089.30	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $1,047.13 / $1,479.11 / $2,290.87	Professional		$1,047.13	$1,479.11	$2,290.87