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 $954.99 / $1,148.15 / $2,089.30	Professional		$954.99	$1,148.15	$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 $933.25 / $1,122.02 / $1,513.56	Professional		$933.25	$1,122.02	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,949.84	Facility		$1,000.00	$1,412.54	$1,949.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,659.59	Professional		$1,023.29	$1,348.96	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $1,905.46	Facility		$1,862.09	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $6,456.54	Professional		$1,202.26	$1,862.09	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
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 / $2,089.30	Professional		$954.99	$1,348.96	$2,089.30