Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,818.38 / $10,471.29	Facility		$1,202.26	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,187.76	Professional		$1,318.26	$1,548.82	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $12,022.64	Facility		$2,344.23	$4,466.84	$12,022.64
Anthem BCBS 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
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,995.26	Facility		$1,230.27	$1,548.82	$1,995.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,041.74	Professional		$1,258.93	$1,737.80	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $8,128.31	Professional		$1,202.26	$2,089.30	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
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 $1,148.15 / $1,479.11 / $2,511.89	Professional		$1,148.15	$1,479.11	$2,511.89