Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,500.00	Professional		$1,300.00	$1,300.00	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,948.00 / $2,921.00 / $4,378.00	Facility		$1,948.00	$2,921.00	$4,378.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.20 / $1,123.55 / $1,258.33	Professional		$927.20	$1,123.55	$1,258.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.32 / $598.12 / $938.22	Facility		$102.32	$598.12	$938.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $124.84 / $178.34	Professional		$96.54	$124.84	$178.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.36 / $757.36 / $3,484.47	Facility		$757.36	$757.36	$3,484.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.02 / $3,174.31 / $3,174.31	Professional		$526.02	$3,174.31	$3,174.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.00 / $106.70	Professional		$32.34	$45.00	$106.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,367.54 / $2,877.07 / $4,942.14	Professional		$2,367.54	$2,877.07	$4,942.14