Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.61 / $1,185.44 / $8,229.00	Facility		$1,060.61	$1,185.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.61 / $1,157.83 / $1,432.07	Professional		$1,060.61	$1,157.83	$1,432.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.17 / $5,018.00 / $11,253.00	Facility		$2,318.17	$5,018.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.32 / $922.74 / $1,517.50	Professional		$784.32	$922.74	$1,517.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,099.22 / $1,508.74 / $1,740.44	Facility		$1,099.22	$1,508.74	$1,740.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,186.88 / $1,508.74 / $2,155.34	Professional		$1,186.88	$1,508.74	$2,155.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,323.47 / $1,323.47 / $1,323.47	Facility		$1,323.47	$1,323.47	$1,323.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.85 / $1,367.80 / $2,221.65	Professional		$964.85	$1,367.80	$2,221.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,185.44	Professional		$32.34	$32.34	$1,185.44
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.55 / $1,376.80 / $2,260.44	Professional		$1,017.55	$1,376.80	$2,260.44