Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,162.28 / $13,803.84	Facility		$1,148.15	$3,162.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,819.70	Professional		$1,047.13	$1,202.26	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,495.41 / $12,302.69	Facility		$3,467.37	$5,495.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,659.59	Professional		$933.25	$1,096.48	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,778.28	Facility		$1,096.48	$1,513.56	$1,778.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $1,819.70	Professional		$1,071.52	$1,548.82	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $4,168.69	Facility		$1,380.38	$2,041.74	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $5,754.40	Professional		$1,174.90	$1,905.46	$5,754.40
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 $1,023.29 / $1,348.96 / $2,238.72	Professional		$1,023.29	$1,348.96	$2,238.72