Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,329.49 / $1,403.67 / $8,229.00	Facility		$1,329.49	$1,403.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.29 / $1,372.27 / $1,698.06	Professional		$1,260.29	$1,372.27	$1,698.06
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 $1,005.47 / $1,218.39 / $1,861.94	Professional		$1,005.47	$1,218.39	$1,861.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,301.58 / $1,786.48 / $2,060.84	Facility		$1,301.58	$1,786.48	$2,060.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,247.34 / $1,786.48 / $2,552.12	Professional		$1,247.34	$1,786.48	$2,552.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,568.87 / $1,568.87 / $1,568.87	Facility		$1,568.87	$1,568.87	$1,568.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.44 / $1,697.25 / $2,628.12	Professional		$1,315.44	$1,697.25	$2,628.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,403.67	Professional		$32.34	$32.34	$1,403.67
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 $1,202.81 / $1,620.98 / $2,686.31	Professional		$1,202.81	$1,620.98	$2,686.31