Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $9,148.48	Facility		$1,645.41	$1,645.41	$9,148.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $1,707.11	Professional		$1,645.41	$1,645.41	$1,707.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,859.49 / $2,021.19 / $2,022.48	Facility		$1,859.49	$2,021.19	$2,022.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.50 / $1,160.76 / $1,365.60	Professional		$937.50	$1,160.76	$1,365.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,361.09 / $1,405.42 / $2,177.73	Facility		$1,361.09	$1,405.42	$2,177.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,156.93 / $1,497.20 / $2,096.08	Professional		$1,156.93	$1,497.20	$2,096.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,559.34 / $1,748.25 / $2,612.09	Professional		$1,559.34	$1,748.25	$2,612.09
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 $1,713.97 / $1,713.97 / $1,835.66	Professional		$1,713.97	$1,713.97	$1,835.66