Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.75 / $1,332.50 / $7,228.00	Facility		$1,283.75	$1,332.50	$7,228.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.50 / $1,300.00 / $1,625.00	Professional		$1,137.50	$1,300.00	$1,625.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,011.56 / $1,625.00 / $1,883.31	Facility		$1,011.56	$1,625.00	$1,883.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $650.00 / $800.00	Professional		$100.00	$650.00	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,625.00 / $2,275.00 / $2,681.25	Facility		$1,625.00	$2,275.00	$2,681.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,787.50 / $2,112.50 / $3,250.00	Professional		$1,787.50	$2,112.50	$3,250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.25 / $1,264.41 / $1,950.00	Facility		$1,056.25	$1,264.41	$1,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.49 / $1,827.80 / $7,832.50	Professional		$743.49	$1,827.80	$7,832.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $893.75 / $893.75 / $893.75	Professional		$893.75	$893.75	$893.75
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $975.00 / $1,787.50	Professional		$682.50	$975.00	$1,787.50