Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.59 / $1,425.22 / $8,229.00	Facility		$1,347.59	$1,425.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.60 / $1,394.45 / $1,721.18	Professional		$1,282.60	$1,394.45	$1,721.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $993.91 / $1,204.38 / $1,904.21	Professional		$993.91	$1,204.38	$1,904.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,321.56 / $1,813.91 / $2,092.46	Facility		$1,321.56	$1,813.91	$2,092.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,417.03 / $1,813.91 / $2,591.30	Professional		$1,417.03	$1,813.91	$2,591.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,592.05 / $1,592.05 / $1,592.05	Facility		$1,592.05	$1,592.05	$1,592.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.77 / $1,712.38 / $2,723.41	Professional		$1,311.77	$1,712.38	$2,723.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,425.22	Professional		$32.34	$32.34	$1,425.22
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 $1,275.67 / $1,720.31 / $2,719.09	Professional		$1,275.67	$1,720.31	$2,719.09