Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.61 / $1,256.42 / $8,229.00	Facility		$1,069.61	$1,256.42	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.61 / $1,224.15 / $1,638.20	Professional		$1,069.61	$1,224.15	$1,638.20
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 $758.76 / $919.43 / $1,588.62	Professional		$758.76	$919.43	$1,588.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,165.04 / $1,599.08 / $1,844.65	Facility		$1,165.04	$1,599.08	$1,844.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,142.20 / $1,599.08 / $2,284.40	Professional		$1,142.20	$1,599.08	$2,284.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.41 / $1,399.41 / $1,399.41	Facility		$1,399.41	$1,399.41	$1,399.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.60 / $1,416.93 / $2,251.08	Professional		$1,043.60	$1,416.93	$2,251.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,256.42	Professional		$32.34	$32.34	$1,256.42
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 $1,054.74 / $1,416.93 / $2,342.71	Professional		$1,054.74	$1,416.93	$2,342.71