Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.13 / $1,214.63 / $2,477.85	Facility		$1,094.13	$1,214.63	$2,477.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,500.00	Professional		$1,214.63	$1,214.63	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,236.77 / $1,288.30 / $2,077.02	Facility		$1,236.77	$1,288.30	$2,077.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.83 / $1,156.28 / $1,214.63	Professional		$982.83	$1,156.28	$1,214.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,721.74 / $2,497.56 / $52,149.48	Facility		$1,721.74	$2,497.56	$52,149.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,873.17 / $2,575.61	Professional		$1,238.93	$1,873.17	$2,575.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,762.18	Professional		$1,238.93	$1,238.93	$1,762.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $1,030.64 / $1,082.17	Professional		$45.00	$1,030.64	$1,082.17
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,214.63	Professional		$485.85	$1,214.63	$1,214.63