Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,162.28 / $13,803.84	Facility		$1,202.26	$3,162.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $2,238.72	Professional		$1,230.27	$1,412.54	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,715.19 / $11,220.18	Facility		$6,606.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,819.70	Professional		$1,023.29	$1,202.26	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,041.74	Facility		$1,202.26	$1,479.11	$2,041.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,041.74	Professional		$1,148.15	$1,584.89	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,344.23 / $2,344.23	Facility		$34.67	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $7,244.36	Professional		$1,288.25	$1,905.46	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,168.69 / $30,199.52	Facility		$407.38	$4,168.69	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,570.40	Professional		$1,202.26	$1,621.81	$2,570.40