Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.99 / $1,463.52 / $8,229.00	Facility		$1,281.99	$1,463.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.47 / $1,323.40 / $1,637.39	Professional		$1,218.47	$1,323.40	$1,637.39
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 $1,088.00 / $1,318.40 / $1,871.49	Professional		$1,088.00	$1,318.40	$1,871.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,255.97 / $1,723.88 / $1,988.62	Facility		$1,255.97	$1,723.88	$1,988.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,354.21 / $1,723.88 / $2,462.67	Professional		$1,354.21	$1,723.88	$2,462.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,514.70 / $1,514.70 / $1,514.70	Facility		$1,514.70	$1,514.70	$1,514.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.85 / $1,679.76 / $2,628.75	Professional		$1,282.85	$1,679.76	$2,628.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,354.47	Professional		$32.34	$32.34	$1,354.47
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 $1,184.25 / $1,673.04 / $2,619.88	Professional		$1,184.25	$1,673.04	$2,619.88