Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.29 / $1,501.84 / $8,229.00	Facility		$1,422.29	$1,501.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.25 / $1,475.94 / $1,816.59	Professional		$1,354.25	$1,475.94	$1,816.59
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 $1,074.40 / $1,301.92 / $2,027.85	Professional		$1,074.40	$1,301.92	$2,027.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,392.61 / $1,911.43 / $2,204.96	Facility		$1,392.61	$1,911.43	$2,204.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,334.59 / $1,911.43 / $2,730.62	Professional		$1,334.59	$1,911.43	$2,730.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,679.11 / $1,679.11 / $1,679.11	Facility		$1,679.11	$1,679.11	$1,679.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,406.19 / $1,808.13 / $2,802.14	Professional		$1,406.19	$1,808.13	$2,802.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,501.84	Professional		$32.34	$32.34	$1,501.84
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 $1,322.14 / $1,759.37 / $2,990.46	Professional		$1,322.14	$1,759.37	$2,990.46