Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.00 / $1,313.66 / $8,229.00	Facility		$1,241.00	$1,313.66	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.84 / $1,275.61 / $1,590.72	Professional		$1,203.84	$1,275.61	$1,590.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,923.72 / $7,537.12 / $11,845.28	Facility		$3,923.72	$7,537.12	$11,845.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.05 / $1,208.19 / $1,818.01	Professional		$997.05	$1,208.19	$1,818.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,217.58 / $1,671.18 / $1,927.84	Facility		$1,217.58	$1,671.18	$1,927.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,305.55 / $1,671.18 / $2,387.40	Professional		$1,305.55	$1,671.18	$2,387.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,468.20 / $1,468.20 / $1,468.20	Facility		$1,468.20	$1,468.20	$1,468.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,246.78 / $1,612.80 / $2,586.27	Professional		$1,246.78	$1,612.80	$2,586.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,313.07	Professional		$32.34	$32.34	$1,313.07
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 $1,190.43 / $1,565.60 / $2,615.42	Professional		$1,190.43	$1,565.60	$2,615.42