Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.83 / $1,550.86 / $9,311.00	Facility		$1,083.83	$1,550.86	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.35 / $1,254.88 / $1,550.86	Professional		$1,099.35	$1,254.88	$1,550.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,350.00 / $9,565.00 / $11,253.00	Facility		$5,350.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.80 / $1,036.80 / $1,717.84	Professional		$866.80	$1,036.80	$1,717.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,191.11 / $1,634.86 / $1,885.94	Facility		$1,191.11	$1,634.86	$1,885.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,167.76 / $1,634.86 / $2,335.52	Professional		$1,167.76	$1,634.86	$2,335.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,434.80 / $1,434.80 / $1,434.80	Facility		$1,434.80	$1,434.80	$1,434.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.33 / $1,544.11 / $2,441.10	Professional		$1,145.33	$1,544.11	$2,441.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,284.54	Professional		$32.34	$32.34	$1,284.54
United Facility/Professional Facility Modifier Low / Median / High Price $999.00 / $2,925.00 / $15,387.00	Facility		$999.00	$2,925.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,123.90 / $1,527.20 / $2,445.40	Professional		$1,123.90	$1,527.20	$2,445.40