Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.78 / $1,066.95 / $1,106.46	Facility		$899.78	$1,066.95	$1,106.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.63 / $1,066.95 / $1,108.98	Professional		$916.63	$1,066.95	$1,108.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.22 / $2,075.85 / $2,181.71	Facility		$1,292.22	$2,075.85	$2,181.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.92 / $1,080.08 / $1,123.35	Professional		$970.92	$1,080.08	$1,123.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,556.89 / $2,890.59 / $3,325.13	Facility		$1,556.89	$2,890.59	$3,325.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,972.06 / $2,580.89 / $3,425.15	Professional		$1,972.06	$2,580.89	$3,425.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $2,432.64	Facility		$1,335.63	$1,335.63	$2,432.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $1,335.63 / $9,902.29	Professional		$975.01	$1,335.63	$9,902.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.42 / $996.86 / $1,368.51	Professional		$690.42	$996.86	$1,368.51