Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.26 / $1,294.26 / $2,750.29	Facility		$1,294.26	$1,294.26	$2,750.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.26 / $1,294.26 / $1,342.79	Professional		$1,294.26	$1,294.26	$1,342.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,550.41 / $1,685.23 / $1,685.23	Facility		$1,550.41	$1,685.23	$1,685.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.70 / $1,429.07 / $1,429.07	Professional		$1,214.70	$1,429.07	$1,429.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.91 / $505.87 / $881.84	Facility		$489.91	$505.87	$881.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.53 / $489.91 / $489.91	Professional		$481.53	$489.91	$489.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.87 / $1,429.07 / $1,429.07	Facility		$643.87	$1,429.07	$1,429.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $2,692.55	Professional		$1,429.07	$1,429.07	$2,692.55
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 $1,388.63 / $1,388.63 / $1,429.07	Professional		$1,388.63	$1,388.63	$1,429.07