Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.86 / $1,552.38 / $8,229.00	Facility		$1,434.86	$1,552.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.18 / $1,517.03 / $1,876.16	Professional		$1,399.18	$1,517.03	$1,876.16
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 $1,061.68 / $1,286.50 / $2,055.34	Professional		$1,061.68	$1,286.50	$2,055.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,439.47 / $1,975.75 / $2,279.16	Facility		$1,439.47	$1,975.75	$2,279.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,411.25 / $1,975.75 / $2,822.50	Professional		$1,411.25	$1,975.75	$2,822.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.82 / $1,734.82 / $1,734.82	Facility		$1,734.82	$1,734.82	$1,734.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.81 / $1,919.02 / $2,999.18	Professional		$1,338.81	$1,919.02	$2,999.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,552.38	Professional		$32.34	$32.34	$1,552.38
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $1,475.00 / $12,296.00	Facility		$847.00	$1,475.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,428.85 / $1,929.90 / $2,964.86	Professional		$1,428.85	$1,929.90	$2,964.86