Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.89 / $1,274.16 / $8,229.00	Facility		$1,205.89	$1,274.16	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.90 / $1,245.41 / $1,540.20	Professional		$1,145.90	$1,245.41	$1,540.20
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 $915.53 / $1,109.41 / $1,714.68	Professional		$915.53	$1,109.41	$1,714.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,181.50 / $1,621.66 / $1,870.70	Facility		$1,181.50	$1,621.66	$1,870.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,274.16 / $1,621.66 / $2,316.66	Professional		$1,274.16	$1,621.66	$2,316.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.86 / $1,423.86 / $1,423.86	Facility		$1,423.86	$1,423.86	$1,423.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.09 / $1,525.15 / $2,381.36	Professional		$1,171.09	$1,525.15	$2,381.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,274.16	Professional		$32.34	$32.34	$1,274.16
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 $1,118.46 / $1,480.39 / $2,429.08	Professional		$1,118.46	$1,480.39	$2,429.08