Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.34 / $1,495.27 / $8,229.00	Facility		$1,339.34	$1,495.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,297.11 / $1,384.20 / $1,710.64	Professional		$1,297.11	$1,384.20	$1,710.64
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 $1,157.02 / $1,402.04 / $1,949.29	Professional		$1,157.02	$1,402.04	$1,949.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,312.56 / $1,801.55 / $2,078.21	Facility		$1,312.56	$1,801.55	$2,078.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,404.78 / $1,801.55 / $2,573.64	Professional		$1,404.78	$1,801.55	$2,573.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.30 / $1,584.30 / $1,584.30	Facility		$1,584.30	$1,584.30	$1,584.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.89 / $1,791.96 / $2,757.40	Professional		$1,335.89	$1,791.96	$2,757.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,415.50	Professional		$32.34	$32.34	$1,415.50
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 $1,289.18 / $1,788.08 / $2,743.58	Professional		$1,289.18	$1,788.08	$2,743.58