Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.99 / $1,202.54 / $8,229.00	Facility		$1,075.99	$1,202.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.99 / $1,174.84 / $1,452.50	Professional		$1,075.99	$1,174.84	$1,452.50
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 $796.70 / $965.42 / $1,602.09	Professional		$796.70	$965.42	$1,602.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,115.08 / $1,530.51 / $1,765.56	Facility		$1,115.08	$1,530.51	$1,765.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.54 / $1,530.51 / $2,186.44	Professional		$1,202.54	$1,530.51	$2,186.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,343.08 / $1,343.08 / $1,343.08	Facility		$1,343.08	$1,343.08	$1,343.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.82 / $1,431.93 / $2,228.36	Professional		$1,039.82	$1,431.93	$2,228.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,202.54	Professional		$32.34	$32.34	$1,202.54
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 $1,045.68 / $1,410.59 / $2,289.38	Professional		$1,045.68	$1,410.59	$2,289.38