Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,310.16 / $1,394.57 / $8,229.00	Facility		$1,310.16	$1,394.57	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.78 / $1,356.35 / $1,673.37	Professional		$1,247.78	$1,356.35	$1,673.37
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 $971.64 / $1,177.39 / $1,862.75	Professional		$971.64	$1,177.39	$1,862.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,284.90 / $1,763.58 / $2,034.43	Facility		$1,284.90	$1,763.58	$2,034.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,259.70 / $1,763.58 / $2,519.40	Professional		$1,259.70	$1,763.58	$2,519.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,547.29 / $1,547.29 / $1,547.29	Facility		$1,547.29	$1,547.29	$1,547.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.49 / $1,684.71 / $2,602.51	Professional		$1,284.49	$1,684.71	$2,602.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,385.67	Professional		$32.34	$32.34	$1,385.67
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 $1,215.39 / $1,663.19 / $2,817.63	Professional		$1,215.39	$1,663.19	$2,817.63