Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,364.33 / $1,582.06 / $8,229.00	Facility		$1,364.33	$1,582.06	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,299.33 / $1,412.20 / $1,742.57	Professional		$1,299.33	$1,412.20	$1,742.57
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 $999.17 / $1,210.77 / $1,926.97	Professional		$999.17	$1,210.77	$1,926.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,337.81 / $1,836.21 / $2,118.19	Facility		$1,337.81	$1,836.21	$2,118.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,282.07 / $1,836.21 / $2,623.16	Professional		$1,282.07	$1,836.21	$2,623.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,612.09 / $1,612.09 / $1,612.09	Facility		$1,612.09	$1,612.09	$1,612.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.53 / $1,733.95 / $2,720.97	Professional		$1,315.53	$1,733.95	$2,720.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,442.74	Professional		$32.34	$32.34	$1,442.74
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 $1,265.70 / $1,682.45 / $2,753.02	Professional		$1,265.70	$1,682.45	$2,753.02