Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,187.76	Facility		$1,023.29	$1,023.29	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,318.26	Professional		$1,023.29	$1,071.52	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,348.96	Facility		$1,258.93	$1,348.96	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $588.84	Facility		$371.54	$371.54	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $524.81	Professional		$371.54	$371.54	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $2,041.74	Facility		$1,096.48	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $5,754.40	Professional		$1,096.48	$1,096.48	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $3,019.95	Professional		$44.67	$44.67	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,202.26	Professional		$1,071.52	$1,148.15	$1,202.26