Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.72 / $1,297.47 / $8,229.00	Facility		$1,226.72	$1,297.47	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.95 / $1,266.39 / $1,566.80	Professional		$1,135.95	$1,266.39	$1,566.80
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 $826.29 / $1,001.26 / $1,683.77	Professional		$826.29	$1,001.26	$1,683.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,203.10 / $1,651.33 / $1,904.92	Facility		$1,203.10	$1,651.33	$1,904.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,179.52 / $1,651.33 / $2,359.04	Professional		$1,179.52	$1,651.33	$2,359.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,447.58 / $1,447.58 / $1,447.58	Facility		$1,447.58	$1,447.58	$1,447.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.55 / $1,507.01 / $2,365.59	Professional		$1,117.55	$1,507.01	$2,365.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,297.47	Professional		$32.34	$32.34	$1,297.47
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 $1,102.92 / $1,495.44 / $2,566.96	Professional		$1,102.92	$1,495.44	$2,566.96