Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $9,549.93	Facility		$1,659.59	$1,659.59	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,737.80	Professional		$1,659.59	$1,659.59	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,344.23	Facility		$1,949.84	$2,041.74	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,380.38	Professional		$933.25	$1,148.15	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,995.26	Facility		$1,348.96	$1,348.96	$1,995.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,995.26	Professional		$1,148.15	$1,348.96	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $3,311.31	Facility		$1,737.80	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $9,332.54 / $9,332.54	Professional		$1,737.80	$9,332.54	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,819.70	Professional		$1,698.24	$1,698.24	$1,819.70