Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,230.27	Facility		$1,174.90	$1,174.90	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,949.84	Professional		$977.24	$1,174.90	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $2,454.71	Facility		$2,089.30	$2,344.23	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,230.27	Professional		$1,071.52	$1,174.90	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $3,981.07	Facility		$1,737.80	$3,090.30	$3,981.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,630.78	Professional		$2,290.87	$2,884.03	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,715.35 / $3,715.35	Facility		$1,548.82	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $11,220.18	Professional		$1,122.02	$1,949.84	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,949.84	Professional		$1,202.26	$1,548.82	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,348.96	Facility		$1,000.00	$1,174.90	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,548.82	Professional		$758.58	$1,096.48	$1,548.82