Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.09 / $1,335.85 / $8,229.00	Facility		$1,265.09	$1,335.85	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.68 / $1,306.75 / $1,615.82	Professional		$1,202.68	$1,306.75	$1,615.82
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 $923.19 / $1,118.68 / $1,791.58	Professional		$923.19	$1,118.68	$1,791.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,238.70 / $1,700.17 / $1,961.28	Facility		$1,238.70	$1,700.17	$1,961.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,214.41 / $1,700.17 / $2,428.82	Professional		$1,214.41	$1,700.17	$2,428.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,493.83 / $1,493.83 / $1,493.83	Facility		$1,493.83	$1,493.83	$1,493.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.29 / $1,641.76 / $2,503.02	Professional		$1,221.29	$1,641.76	$2,503.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,335.85	Professional		$32.34	$32.34	$1,335.85
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 $1,174.94 / $1,574.55 / $2,658.21	Professional		$1,174.94	$1,574.55	$2,658.21