Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $1,857.07	Facility		$1,857.07	$1,857.07	$1,857.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $6,632.40	Professional		$1,857.07	$1,857.07	$6,632.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,625.51 / $1,766.86 / $2,148.38	Facility		$1,625.51	$1,766.86	$2,148.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.25 / $1,307.35 / $1,307.35	Professional		$1,111.25	$1,307.35	$1,307.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.73 / $441.73 / $883.46	Facility		$441.73	$441.73	$883.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $441.73 / $618.42	Professional		$327.20	$441.73	$618.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $548.73 / $1,857.07 / $2,039.14	Facility		$548.73	$1,857.07	$2,039.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,774.68 / $2,774.68	Professional		$2,039.14	$2,774.68	$2,774.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,123.77 / $2,270.96	Professional		$1,875.28	$2,123.77	$2,270.96