Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.82 / $1,216.31 / $8,229.00	Facility		$1,148.82	$1,216.31	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.48 / $1,187.64 / $1,467.31	Professional		$1,030.48	$1,187.64	$1,467.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.15 / $1,033.81 / $1,615.76	Professional		$853.15	$1,033.81	$1,615.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,127.85 / $1,548.04 / $1,785.77	Facility		$1,127.85	$1,548.04	$1,785.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,211.19 / $1,548.04 / $2,211.48	Professional		$1,211.19	$1,548.04	$2,211.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,357.84 / $1,357.84 / $1,357.84	Facility		$1,357.84	$1,357.84	$1,357.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.21 / $1,457.86 / $2,260.73	Professional		$1,106.21	$1,457.86	$2,260.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,216.31	Professional		$32.34	$32.34	$1,216.31
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 $1,082.70 / $1,402.58 / $2,443.21	Professional		$1,082.70	$1,402.58	$2,443.21