Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $10,471.29	Facility		$1,258.93	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,137.96	Professional		$1,288.25	$1,513.56	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $12,022.64	Facility		$2,454.71	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $2,238.72	Professional		$977.24	$1,148.15	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,949.84	Facility		$1,230.27	$1,513.56	$1,949.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $1,995.26	Professional		$1,230.27	$1,698.24	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,290.87	Facility		$2,238.72	$2,238.72	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $7,413.10	Professional		$1,071.52	$2,089.30	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
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 / $1,348.96 / $2,344.23	Professional		$1,047.13	$1,348.96	$2,344.23