Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.57 / $1,389.91 / $8,229.00	Facility		$1,317.57	$1,389.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.06 / $1,360.00 / $1,682.84	Professional		$1,254.06	$1,360.00	$1,682.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.00 / $1,179.04 / $1,876.49	Professional		$973.00	$1,179.04	$1,876.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.82 / $1,768.97 / $2,040.64	Facility		$1,288.82	$1,768.97	$2,040.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,235.11 / $1,768.97 / $2,527.10	Professional		$1,235.11	$1,768.97	$2,527.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,554.88 / $1,554.88 / $1,554.88	Facility		$1,554.88	$1,554.88	$1,554.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.83 / $1,687.65 / $2,593.42	Professional		$1,288.83	$1,687.65	$2,593.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,389.91	Professional		$32.34	$32.34	$1,389.91
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 $1,236.36 / $1,632.16 / $2,633.18	Professional		$1,236.36	$1,632.16	$2,633.18