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 $977.24 / $1,148.15 / $2,041.74	Professional		$977.24	$1,148.15	$2,041.74
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 $891.25 / $1,071.52 / $1,513.56	Professional		$891.25	$1,071.52	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,995.26	Facility		$1,023.29	$1,445.44	$1,995.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,737.80	Professional		$954.99	$1,445.44	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $1,949.84	Facility		$1,659.59	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $5,370.32	Professional		$1,174.90	$1,862.09	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
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 $954.99 / $1,348.96 / $2,137.96	Professional		$954.99	$1,348.96	$2,137.96