Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.79 / $1,474.01 / $8,229.00	Facility		$1,365.79	$1,474.01	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,347.30 / $1,440.65 / $1,780.94	Professional		$1,347.30	$1,440.65	$1,780.94
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 $999.86 / $1,211.58 / $1,983.63	Professional		$999.86	$1,211.58	$1,983.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,366.81 / $1,876.01 / $2,164.12	Facility		$1,366.81	$1,876.01	$2,164.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,309.85 / $1,876.01 / $2,680.02	Professional		$1,309.85	$1,876.01	$2,680.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,648.58 / $1,648.58 / $1,648.58	Facility		$1,648.58	$1,648.58	$1,648.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.01 / $1,809.30 / $2,924.61	Professional		$1,315.01	$1,809.30	$2,924.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,474.01	Professional		$32.34	$32.34	$1,474.01
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 $1,315.01 / $1,806.89 / $2,816.34	Professional		$1,315.01	$1,806.89	$2,816.34