Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,047.13	Facility		$1,000.00	$1,000.00	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,621.81	Professional		$831.76	$977.24	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $2,089.30	Facility		$1,778.28	$1,995.26	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,047.13	Professional		$912.01	$1,000.00	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $3,388.44	Facility		$1,445.44	$2,630.27	$3,388.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,090.30	Professional		$1,949.84	$2,454.71	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,090.30 / $3,090.30	Facility		$1,202.26	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,659.59 / $9,332.54	Professional		$891.25	$1,659.59	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,659.59	Professional		$1,023.29	$1,318.26	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $977.24 / $1,148.15	Facility		$851.14	$977.24	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,318.26	Professional		$616.60	$912.01	$1,318.26