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 / $1,023.29	Facility		$1,000.00	$1,000.00	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,698.24	Professional		$870.96	$1,148.15	$1,698.24
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 / $1,122.02 / $1,258.93	Professional		$912.01	$1,122.02	$1,258.93
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 / $2,398.83 / $3,090.30	Professional		$1,949.84	$2,398.83	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,467.37 / $3,467.37	Facility		$1,202.26	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,819.70 / $10,471.29	Professional		$870.96	$1,819.70	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,659.59	Professional		$1,000.00	$1,288.25	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,122.02	Facility		$602.56	$954.99	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,513.56	Professional		$645.65	$954.99	$1,513.56