Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $4,073.80	Facility		$2,754.23	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $4,365.16	Professional		$2,754.23	$3,630.78	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,466.84 / $4,677.35	Professional		$4,168.69	$4,466.84	$4,677.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $7,413.10	Facility		$416.87	$630.96	$7,413.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $10,471.29	Professional		$602.56	$891.25	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,025.60 / $9,772.37	Facility		$1,445.44	$6,025.60	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $5,011.87	Professional		$2,691.53	$3,467.37	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $363.08 / $4,466.84	Professional		$100.00	$363.08	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,344.23 / $4,168.69	Facility		$316.23	$2,344.23	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $4,466.84	Professional		$2,089.30	$3,162.28	$4,466.84