Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Facility		$2,326.37	$2,326.37	$2,326.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Professional		$2,326.37	$2,326.37	$2,326.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $1,540.55 / $2,691.30	Facility		$276.02	$1,540.55	$2,691.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $126.97 / $144.00	Professional		$107.92	$126.97	$144.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.37 / $91.86 / $174.74	Facility		$87.37	$91.86	$174.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $87.37 / $134.55	Professional		$74.26	$87.37	$134.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,554.44 / $2,554.44	Facility		$2,326.37	$2,554.44	$2,554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $3,326.23 / $3,326.23	Professional		$2,554.44	$3,326.23	$3,326.23
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 $2,349.17 / $2,736.91 / $2,772.03	Professional		$2,349.17	$2,736.91	$2,772.03