Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.30 / $1,344.56 / $8,229.00	Facility		$1,260.30	$1,344.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,216.58 / $1,304.58 / $1,609.69	Professional		$1,216.58	$1,304.58	$1,609.69
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 $903.64 / $1,094.99 / $1,793.14	Professional		$903.64	$1,094.99	$1,793.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,237.09 / $1,697.99 / $1,958.75	Facility		$1,237.09	$1,697.99	$1,958.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,212.84 / $1,697.99 / $2,425.69	Professional		$1,212.84	$1,697.99	$2,425.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,491.88 / $1,491.88 / $1,491.88	Facility		$1,491.88	$1,491.88	$1,491.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.08 / $1,628.11 / $2,641.10	Professional		$1,181.08	$1,628.11	$2,641.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,334.14	Professional		$32.34	$32.34	$1,334.14
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 $1,182.08 / $1,605.88 / $2,648.25	Professional		$1,182.08	$1,605.88	$2,648.25