Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $1,338.68 / $8,229.00	Facility		$1,265.00	$1,338.68	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.45 / $1,307.38 / $1,615.69	Professional		$1,202.45	$1,307.38	$1,615.69
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 $898.62 / $1,057.21 / $1,733.95	Professional		$898.62	$1,057.21	$1,733.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,241.32 / $1,703.77 / $1,965.42	Facility		$1,241.32	$1,703.77	$1,965.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,338.68 / $1,703.77 / $2,433.96	Professional		$1,338.68	$1,703.77	$2,433.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.88 / $1,494.88 / $1,494.88	Facility		$1,494.88	$1,494.88	$1,494.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.41 / $1,618.03 / $2,490.77	Professional		$1,153.41	$1,618.03	$2,490.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,338.68	Professional		$32.34	$32.34	$1,338.68
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 $1,172.75 / $1,586.67 / $2,654.89	Professional		$1,172.75	$1,586.67	$2,654.89