Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,673.31 / $8,229.00	Facility		$1,194.00	$1,673.31	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,326.59 / $1,519.56 / $1,797.19	Professional		$1,326.59	$1,519.56	$1,797.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,223.57 / $1,448.49 / $2,076.64	Professional		$1,223.57	$1,448.49	$2,076.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,424.97 / $2,037.66 / $2,350.59	Facility		$1,424.97	$2,037.66	$2,350.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,422.72 / $2,037.66 / $2,910.94	Professional		$1,422.72	$2,037.66	$2,910.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,496.28 / $1,794.83 / $1,794.83	Facility		$1,496.28	$1,794.83	$1,794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,488.52 / $2,107.31 / $2,990.42	Professional		$1,488.52	$2,107.31	$2,990.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,892.11	Professional		$32.34	$32.34	$1,892.11
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 $1,435.58 / $1,979.96 / $3,043.36	Professional		$1,435.58	$1,979.96	$3,043.36