Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,796.67 / $1,796.67 / $1,796.67	Facility		$1,796.67	$1,796.67	$1,796.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.15 / $1,796.67 / $2,034.51	Professional		$848.15	$1,796.67	$2,034.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $87.34 / $154.44	Professional		$74.23	$87.34	$154.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $808.21 / $1,109.30 / $1,279.67	Facility		$808.21	$1,109.30	$1,279.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $799.67 / $1,097.81 / $1,585.28	Professional		$799.67	$1,097.81	$1,585.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,386.63 / $1,386.63 / $1,386.63	Facility		$1,386.63	$1,386.63	$1,386.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,352.99 / $4,352.99 / $4,354.58	Professional		$4,352.99	$4,352.99	$4,354.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $830.00 / $830.00	Facility		$830.00	$830.00	$830.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.36 / $1,006.80 / $1,445.54	Professional		$803.36	$1,006.80	$1,445.54