Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.74 / $1,408.74 / $1,408.74	Facility		$1,408.74	$1,408.74	$1,408.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.74 / $1,408.74 / $1,496.79	Professional		$1,408.74	$1,408.74	$1,496.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,661.26 / $1,730.48 / $2,509.32	Facility		$1,661.26	$1,730.48	$2,509.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.02 / $478.96 / $673.66	Professional		$402.02	$478.96	$673.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.01 / $1,217.08 / $1,392.47	Facility		$652.01	$1,217.08	$1,392.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $825.88 / $1,080.81 / $1,434.43	Professional		$825.88	$1,080.81	$1,434.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.77 / $482.77 / $1,018.76	Facility		$482.77	$482.77	$1,018.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.35 / $410.35 / $4,147.80	Professional		$410.35	$410.35	$4,147.80
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 $289.14 / $437.88 / $687.85	Professional		$289.14	$437.88	$687.85