Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,513.56 / $5,495.41	Facility		$851.14	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $2,089.30	Professional		$1,000.00	$1,202.26	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,584.89	Professional		$1,000.00	$1,202.26	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,737.80	Facility		$1,047.13	$1,348.96	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,737.80	Professional		$1,096.48	$1,412.54	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $1,995.26	Facility		$1,659.59	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $6,918.31	Professional		$1,230.27	$1,949.84	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,187.76	Professional		$1,047.13	$1,479.11	$2,187.76