Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.36 / $1,363.74 / $8,229.00	Facility		$1,288.36	$1,363.74	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.28 / $1,334.74 / $1,800.93	Professional		$1,196.28	$1,334.74	$1,800.93
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 $944.78 / $1,144.84 / $1,822.03	Professional		$944.78	$1,144.84	$1,822.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,263.72 / $1,734.52 / $2,000.89	Facility		$1,263.72	$1,734.52	$2,000.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,211.06 / $1,734.52 / $2,477.88	Professional		$1,211.06	$1,734.52	$2,477.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,522.36 / $1,522.36 / $1,522.36	Facility		$1,522.36	$1,522.36	$1,522.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.21 / $1,656.99 / $2,561.94	Professional		$1,250.21	$1,656.99	$2,561.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,362.83	Professional		$32.34	$32.34	$1,362.83
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 $1,221.48 / $1,647.84 / $2,705.73	Professional		$1,221.48	$1,647.84	$2,705.73