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 $1,940.34 / $2,021.19 / $2,600.80	Facility		$1,940.34	$2,021.19	$2,600.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $1,160.76 / $1,365.60	Professional		$121.70	$1,160.76	$1,365.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,257.01 / $2,344.51 / $2,372.82	Facility		$2,257.01	$2,344.51	$2,372.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,370.33 / $1,370.33 / $1,370.33	Professional		$1,370.33	$1,370.33	$1,370.33
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 $1,748.25 / $1,748.25 / $2,612.09	Professional		$1,748.25	$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