Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.00 / $1,568.77 / $8,229.00	Facility		$1,032.00	$1,568.77	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,273.38 / $1,568.77	Professional		$1,167.99	$1,273.38	$1,568.77
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 $943.76 / $1,143.60 / $1,722.32	Professional		$943.76	$1,143.60	$1,722.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.74 / $1,650.81 / $1,904.33	Facility		$1,202.74	$1,650.81	$1,904.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,152.61 / $1,650.81 / $2,358.30	Professional		$1,152.61	$1,650.81	$2,358.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.27 / $1,450.27 / $1,450.27	Facility		$1,450.27	$1,450.27	$1,450.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.47 / $1,575.30 / $2,433.78	Professional		$1,223.47	$1,575.30	$2,433.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,297.07	Professional		$32.34	$32.34	$1,297.07
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 $1,137.27 / $1,529.49 / $2,484.09	Professional		$1,137.27	$1,529.49	$2,484.09