Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,041.74	Facility		$1,380.38	$1,380.38	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,041.74	Professional		$1,380.38	$1,778.28	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,698.24	Professional		$1,318.26	$1,513.56	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,041.74 / $3,630.78	Facility		$229.09	$2,041.74	$3,630.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $2,691.53 / $4,466.84	Professional		$309.03	$2,691.53	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,019.95 / $4,786.30	Facility		$724.44	$3,019.95	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,818.38	Professional		$1,513.56	$1,778.28	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,071.52 / $1,778.28	Facility		$131.83	$1,071.52	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $1,995.26	Professional		$912.01	$1,412.54	$1,995.26