Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,300.00 / $1,300.00	Facility		$1,000.00	$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 $764.16 / $1,089.71 / $1,612.29	Professional		$764.16	$1,089.71	$1,612.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.53 / $392.18 / $575.67	Facility		$76.53	$392.18	$575.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $110.04 / $715.07	Professional		$76.69	$110.04	$715.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.11 / $495.11 / $2,806.78	Facility		$495.11	$495.11	$2,806.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.93 / $508.26 / $2,075.15	Professional		$234.93	$508.26	$2,075.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.00 / $963.57	Professional		$32.34	$45.00	$963.57
United Facility/Professional Professional Modifier Low / Median / High Price $635.15 / $1,260.18 / $1,872.89	Professional		$635.15	$1,260.18	$1,872.89