Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,148.15	Facility		$1,096.48	$1,096.48	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,737.80	Professional		$933.25	$1,122.02	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $2,290.87	Facility		$1,949.84	$2,187.76	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,288.25	Professional		$1,000.00	$1,174.90	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $3,715.35	Facility		$1,621.81	$2,884.03	$3,715.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,467.37	Professional		$2,137.96	$2,691.53	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,548.13 / $3,548.13	Facility		$1,318.26	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $10,715.19	Professional		$954.99	$1,819.70	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,862.09	Professional		$1,122.02	$1,445.44	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,318.26	Facility		$1,000.00	$1,071.52	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,412.54	Professional		$707.95	$1,023.29	$1,412.54