Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.89 / $1,291.33 / $8,229.00	Facility		$1,222.89	$1,291.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.95 / $1,262.68 / $1,561.90	Professional		$1,161.95	$1,262.68	$1,561.90
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 $925.99 / $1,122.08 / $1,738.70	Professional		$925.99	$1,122.08	$1,738.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,197.42 / $1,643.52 / $1,895.92	Facility		$1,197.42	$1,643.52	$1,895.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,287.76 / $1,643.52 / $2,347.88	Professional		$1,287.76	$1,643.52	$2,347.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,443.47 / $1,443.47 / $1,443.47	Facility		$1,443.47	$1,443.47	$1,443.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.74 / $1,555.05 / $2,441.41	Professional		$1,221.74	$1,555.05	$2,441.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,291.33	Professional		$32.34	$32.34	$1,291.33
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 $1,136.83 / $1,517.40 / $2,477.89	Professional		$1,136.83	$1,517.40	$2,477.89