Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.42 / $1,372.94 / $8,229.00	Facility		$1,238.42	$1,372.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.84 / $1,282.30 / $1,581.74	Professional		$1,175.84	$1,282.30	$1,581.74
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 $955.57 / $1,157.93 / $1,759.96	Professional		$955.57	$1,157.93	$1,759.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,215.18 / $1,667.89 / $1,924.04	Facility		$1,215.18	$1,667.89	$1,924.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,164.54 / $1,667.89 / $2,382.69	Professional		$1,164.54	$1,667.89	$2,382.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,463.94 / $1,463.94 / $1,463.94	Facility		$1,463.94	$1,463.94	$1,463.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.53 / $1,604.98 / $2,438.21	Professional		$1,234.53	$1,604.98	$2,438.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,310.49	Professional		$32.34	$32.34	$1,310.49
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,298.00 / $10,966.00	Facility		$719.00	$1,298.00	$10,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,147.90 / $1,528.47 / $2,519.25	Professional		$1,147.90	$1,528.47	$2,519.25