Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.10 / $1,328.92 / $1,976.15	Facility		$1,085.10	$1,328.92	$1,976.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.58 / $1,443.64 / $1,976.15	Professional		$1,215.58	$1,443.64	$1,976.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,276.07 / $1,521.80 / $2,173.69	Professional		$1,276.07	$1,521.80	$2,173.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,186.91 / $1,691.35 / $1,951.09	Facility		$1,186.91	$1,691.35	$1,951.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,328.92 / $1,691.35 / $2,718.25	Professional		$1,328.92	$1,691.35	$2,718.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,762.49 / $2,222.92 / $2,222.92	Facility		$1,762.49	$2,222.92	$2,222.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,480.60 / $2,159.21 / $3,369.24	Professional		$1,480.60	$2,159.21	$3,369.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $906.47 / $1,643.09	Professional		$32.34	$906.47	$1,643.09
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 $1,602.97 / $2,191.53 / $3,267.50	Professional		$1,602.97	$2,191.53	$3,267.50