Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,818.38 / $10,471.29	Facility		$1,148.15	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,659.59	Professional		$1,148.15	$1,318.26	$1,659.59
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 $933.25 / $1,096.48 / $1,778.28	Professional		$933.25	$1,096.48	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $1,949.84	Facility		$1,174.90	$1,659.59	$1,949.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $1,995.26	Professional		$1,202.26	$1,698.24	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $2,238.72	Facility		$34.67	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $7,943.28	Professional		$1,380.38	$2,187.76	$7,943.28
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 $1,148.15 / $1,737.80 / $2,570.40	Professional		$1,148.15	$1,737.80	$2,570.40