Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.03 / $1,114.64 / $1,159.23	Facility		$781.03	$1,114.64	$1,159.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.18 / $1,130.82 / $1,241.69	Professional		$995.18	$1,130.82	$1,241.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.47 / $1,250.20 / $1,271.40	Professional		$1,095.47	$1,250.20	$1,271.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,756.60 / $3,261.37 / $3,751.61	Facility		$1,756.60	$3,261.37	$3,751.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,225.02 / $2,911.94 / $3,864.51	Professional		$2,225.02	$2,911.94	$3,864.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,744.69	Facility		$1,800.00	$1,800.00	$2,744.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,800.00 / $10,306.56	Professional		$1,530.00	$1,800.00	$10,306.56
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 $778.98 / $1,168.47 / $1,600.25	Professional		$778.98	$1,168.47	$1,600.25