Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $933.25	Facility		$891.25	$891.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,659.59	Professional		$812.83	$1,148.15	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $1,995.26	Facility		$1,698.24	$1,905.46	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,202.26	Professional		$870.96	$1,122.02	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $3,235.94	Facility		$1,412.54	$2,511.89	$3,235.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,019.95	Professional		$1,862.09	$2,344.23	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,311.31 / $3,311.31	Facility		$1,174.90	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,737.80 / $10,000.00	Professional		$851.14	$1,737.80	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,621.81	Professional		$977.24	$1,258.93	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,230.27 / $1,445.44	Facility		$741.31	$1,230.27	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,445.44	Professional		$616.60	$1,000.00	$1,445.44