Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,162.28 / $13,803.84	Facility		$1,202.26	$3,162.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,344.23	Professional		$1,348.96	$1,513.56	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,495.41 / $12,302.69	Facility		$3,548.13	$5,495.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,089.30	Professional		$1,148.15	$1,380.38	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,238.72	Facility		$1,380.38	$1,905.46	$2,238.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,290.87	Professional		$1,412.54	$1,949.84	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $4,168.69	Facility		$1,737.80	$2,570.40	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $7,244.36	Professional		$1,445.44	$2,398.83	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $1,288.25 / $1,698.24 / $2,818.38	Professional		$1,288.25	$1,698.24	$2,818.38