Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,570.88 / $7,943.28	Facility		$2,754.23	$4,570.88	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,630.27 / $3,311.31	Professional		$1,000.00	$2,630.27	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $3,467.37	Facility		$2,754.23	$3,311.31	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $794.33 / $1,318.26	Professional		$100.00	$794.33	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $6,309.57	Facility		$3,311.31	$4,677.35	$6,309.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $5,495.41	Professional		$3,548.13	$4,365.16	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $5,370.32	Facility		$2,137.96	$5,370.32	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $15,848.93 / $15,848.93	Professional		$1,513.56	$15,848.93	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,311.31	Professional		$1,380.38	$1,995.26	$3,311.31