Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.00 / $1,066.65 / $6,005.63	Facility		$728.00	$1,066.65	$6,005.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.13 / $1,080.15 / $1,309.68	Professional		$945.13	$1,080.15	$1,309.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.49 / $1,350.19 / $1,883.31	Facility		$840.49	$1,350.19	$1,883.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $540.08 / $800.00	Professional		$100.00	$540.08	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,350.19 / $1,890.27 / $2,227.81	Facility		$1,350.19	$1,890.27	$2,227.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,485.21 / $1,755.25 / $2,700.38	Professional		$1,485.21	$1,755.25	$2,700.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.62 / $1,050.58 / $1,620.23	Facility		$877.62	$1,050.58	$1,620.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.67 / $1,551.64 / $6,507.92	Professional		$617.67	$1,551.64	$6,507.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $742.60 / $742.60 / $742.60	Professional		$742.60	$742.60	$742.60
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $810.11 / $1,485.21	Professional		$567.08	$810.11	$1,485.21