Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.27 / $1,281.71 / $1,812.83	Facility		$1,006.27	$1,281.71	$1,812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.30 / $1,351.18 / $1,812.83	Professional		$1,129.30	$1,351.18	$1,812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,189.54 / $1,413.18 / $1,986.40	Professional		$1,189.54	$1,413.18	$1,986.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,105.06 / $1,572.75 / $1,814.27	Facility		$1,105.06	$1,572.75	$1,814.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,123.39 / $1,583.98 / $2,527.63	Professional		$1,123.39	$1,583.98	$2,527.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,596.86 / $2,067.04 / $2,067.04	Facility		$1,596.86	$2,067.04	$2,067.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.29 / $2,048.54 / $3,267.66	Professional		$1,453.29	$2,048.54	$3,267.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $819.13 / $1,586.46	Professional		$32.34	$819.13	$1,586.46
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,531.32 / $2,187.60 / $3,270.60	Professional		$1,531.32	$2,187.60	$3,270.60