Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.57 / $1,490.16 / $8,229.00	Facility		$1,411.57	$1,490.16	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.68 / $1,456.66 / $1,802.90	Professional		$1,338.68	$1,456.66	$1,802.90
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 $1,009.12 / $1,194.83 / $1,937.32	Professional		$1,009.12	$1,194.83	$1,937.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,381.79 / $1,896.57 / $2,187.83	Facility		$1,381.79	$1,896.57	$2,187.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,324.21 / $1,896.57 / $2,709.38	Professional		$1,324.21	$1,896.57	$2,709.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.96 / $1,664.96 / $1,664.96	Facility		$1,664.96	$1,664.96	$1,664.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.94 / $1,783.28 / $2,747.34	Professional		$1,297.94	$1,783.28	$2,747.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,490.16	Professional		$32.34	$32.34	$1,490.16
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 $1,282.34 / $1,729.95 / $2,964.24	Professional		$1,282.34	$1,729.95	$2,964.24