Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.42 / $1,499.44 / $8,229.00	Facility		$1,070.42	$1,499.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,070.42 / $1,245.08 / $1,499.44	Professional		$1,070.42	$1,245.08	$1,499.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,199.00 / $12,101.00	Facility		$3,104.00	$5,199.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.98 / $1,191.94 / $1,758.49	Professional		$935.98	$1,191.94	$1,758.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,151.50 / $1,660.40 / $1,915.39	Facility		$1,151.50	$1,660.40	$1,915.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,186.00 / $1,660.40 / $2,372.00	Professional		$1,186.00	$1,660.40	$2,372.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,453.45 / $1,453.45 / $1,476.46	Facility		$1,453.45	$1,453.45	$1,476.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.60 / $1,681.57 / $2,450.04	Professional		$1,244.60	$1,681.57	$2,450.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,541.80	Professional		$32.34	$32.34	$1,541.80
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,162.67 / $1,536.86 / $2,414.15	Professional		$1,162.67	$1,536.86	$2,414.15