Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.38 / $1,180.59 / $3,512.80	Facility		$957.38	$1,180.59	$3,512.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.69 / $1,030.96 / $1,727.50	Professional		$944.69	$1,030.96	$1,727.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.30 / $1,238.00 / $1,568.24	Professional		$1,052.30	$1,238.00	$1,568.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,107.29 / $1,519.81 / $1,753.21	Facility		$1,107.29	$1,519.81	$1,753.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,085.58 / $1,519.81 / $2,171.16	Professional		$1,085.58	$1,519.81	$2,171.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,163.41 / $1,341.00 / $1,341.00	Facility		$1,163.41	$1,341.00	$1,341.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.00 / $1,347.38 / $2,160.66	Professional		$1,060.00	$1,347.38	$2,160.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $907.89 / $1,296.99 / $1,896.45	Professional		$907.89	$1,296.99	$1,896.45