Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.02 / $1,354.22 / $8,229.00	Facility		$1,282.02	$1,354.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.92 / $1,324.13 / $1,637.43	Professional		$1,212.92	$1,324.13	$1,637.43
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 $897.60 / $1,087.68 / $1,817.07	Professional		$897.60	$1,087.68	$1,817.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,255.73 / $1,723.55 / $1,988.24	Facility		$1,255.73	$1,723.55	$1,988.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,360.38 / $1,723.55 / $2,462.21	Professional		$1,360.38	$1,723.55	$2,462.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.73 / $1,513.73 / $1,513.73	Facility		$1,513.73	$1,513.73	$1,513.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.56 / $1,660.56 / $2,537.91	Professional		$1,184.56	$1,660.56	$2,537.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,354.22	Professional		$32.34	$32.34	$1,354.22
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 $1,186.93 / $1,543.14 / $2,587.40	Professional		$1,186.93	$1,543.14	$2,587.40