Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.55 / $1,028.55 / $2,185.67	Facility		$1,028.55	$1,028.55	$2,185.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,028.55 / $1,092.83	Professional		$1,028.55	$1,028.55	$1,092.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,264.26 / $1,339.26 / $2,142.82	Facility		$1,264.26	$1,339.26	$2,142.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,135.69 / $1,135.69	Professional		$1,028.55	$1,135.69	$1,135.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.90 / $520.66 / $614.42	Facility		$371.90	$520.66	$614.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.90 / $409.09 / $572.73	Professional		$371.90	$409.09	$572.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.66 / $1,092.83 / $1,135.69	Professional		$720.66	$1,092.83	$1,135.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,135.69 / $1,192.70	Professional		$1,071.41	$1,135.69	$1,192.70