Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.00 / $1,694.66 / $13,304.00	Facility		$1,243.00	$1,694.66	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.58 / $1,373.91 / $1,694.66	Professional		$1,262.58	$1,373.91	$1,694.66
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 $992.21 / $1,202.32 / $1,871.82	Professional		$992.21	$1,202.32	$1,871.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,298.82 / $1,782.69 / $2,056.46	Facility		$1,298.82	$1,782.69	$2,056.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,273.34 / $1,782.69 / $2,546.69	Professional		$1,273.34	$1,782.69	$2,546.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,566.26 / $1,566.26 / $1,566.26	Facility		$1,566.26	$1,566.26	$1,566.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.22 / $1,702.84 / $2,642.83	Professional		$1,305.22	$1,702.84	$2,642.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,400.69	Professional		$32.34	$32.34	$1,400.69
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 $1,246.22 / $1,635.17 / $2,793.41	Professional		$1,246.22	$1,635.17	$2,793.41