Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,570.40 / $10,471.29	Facility		$1,174.90	$2,570.40	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,089.30	Professional		$1,202.26	$1,445.44	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $12,022.64	Facility		$2,884.03	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,819.70	Professional		$1,071.52	$1,380.38	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,819.70	Facility		$1,096.48	$1,513.56	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,819.70	Professional		$1,230.27	$1,548.82	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,511.89	Facility		$1,445.44	$2,041.74	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $7,413.10	Professional		$1,288.25	$1,995.26	$7,413.10
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 $1,174.90 / $1,698.24 / $2,511.89	Professional		$1,174.90	$1,698.24	$2,511.89