Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.84 / $1,229.95 / $8,229.00	Facility		$1,161.84	$1,229.95	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.98 / $1,201.32 / $1,483.95	Professional		$1,103.98	$1,201.32	$1,483.95
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 $864.28 / $1,047.30 / $1,650.20	Professional		$864.28	$1,047.30	$1,650.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,140.50 / $1,565.40 / $1,805.80	Facility		$1,140.50	$1,565.40	$1,805.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,224.83 / $1,565.40 / $2,236.28	Professional		$1,224.83	$1,565.40	$2,236.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,373.52 / $1,373.52 / $1,373.52	Facility		$1,373.52	$1,373.52	$1,373.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.34 / $1,478.14 / $2,289.77	Professional		$1,125.34	$1,478.14	$2,289.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,229.95	Professional		$32.34	$32.34	$1,229.95
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 $1,077.04 / $1,454.21 / $2,436.75	Professional		$1,077.04	$1,454.21	$2,436.75