Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.38 / $1,036.24 / $3,324.85	Facility		$996.38	$1,036.24	$3,324.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.04 / $1,016.79 / $1,109.94	Professional		$907.04	$1,016.79	$1,109.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.29 / $2,093.64 / $2,200.42	Facility		$1,303.29	$2,093.64	$2,200.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.16 / $1,117.55 / $1,417.94	Professional		$838.16	$1,117.55	$1,417.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,570.23 / $2,915.33 / $3,353.56	Facility		$1,570.23	$2,915.33	$3,353.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,988.96 / $2,602.98 / $3,454.51	Professional		$1,988.96	$2,602.98	$3,454.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $2,453.48	Facility		$1,162.68	$1,162.68	$2,453.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,162.68 / $9,989.40	Professional		$988.28	$1,162.68	$9,989.40
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 $618.86 / $1,044.50 / $1,430.46	Professional		$618.86	$1,044.50	$1,430.46