Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,111.36 / $8,229.00	Facility		$1,052.08	$1,111.36	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.74 / $1,111.36 / $1,230.26	Professional		$1,020.74	$1,111.36	$1,230.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.06 / $951.31 / $1,541.32	Professional		$785.06	$951.31	$1,541.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,101.19 / $1,511.44 / $1,743.55	Facility		$1,101.19	$1,511.44	$1,743.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,079.59 / $1,511.44 / $2,159.19	Professional		$1,079.59	$1,511.44	$2,159.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $1,325.54	Facility		$1,325.54	$1,325.54	$1,325.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.35 / $1,416.63 / $2,218.56	Professional		$1,023.35	$1,416.63	$2,218.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,187.56	Professional		$32.34	$32.34	$1,187.56
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $976.06 / $1,310.23 / $2,026.38	Professional		$976.06	$1,310.23	$2,026.38