Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.35 / $1,171.83 / $8,229.00	Facility		$1,075.35	$1,171.83	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.67 / $1,111.86 / $1,373.48	Professional		$1,039.67	$1,111.86	$1,373.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $9,565.00 / $11,253.00	Facility		$7,990.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.39 / $1,195.27 / $1,548.06	Professional		$986.39	$1,195.27	$1,548.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,442.55 / $1,664.08	Facility		$1,051.00	$1,442.55	$1,664.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,030.39 / $1,442.55 / $2,060.78	Professional		$1,030.39	$1,442.55	$2,060.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.99 / $1,268.99 / $1,268.99	Facility		$1,268.99	$1,268.99	$1,268.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.69 / $1,595.21 / $2,459.57	Professional		$1,085.69	$1,595.21	$2,459.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,133.43	Professional		$32.34	$32.34	$1,133.43
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 $1,054.96 / $1,582.43 / $2,276.48	Professional		$1,054.96	$1,582.43	$2,276.48