Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,073.07 / $2,073.07 / $4,405.28	Facility		$2,073.07	$2,073.07	$4,405.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,073.07 / $2,073.07 / $2,150.81	Professional		$2,073.07	$2,073.07	$2,150.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.94 / $803.06 / $4,318.89	Facility		$770.94	$803.06	$4,318.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.00 / $1,697.49 / $1,697.49	Professional		$681.00	$1,697.49	$1,697.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $493.88 / $592.66 / $987.76	Facility		$493.88	$592.66	$987.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $419.80 / $493.88 / $760.58	Professional		$419.80	$493.88	$760.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $3,149.28 / $3,149.28	Professional		$2,202.64	$3,149.28	$3,149.28
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 $2,159.44 / $2,159.44 / $2,159.44	Professional		$2,159.44	$2,159.44	$2,159.44