Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.63 / $1,168.83 / $8,229.00	Facility		$1,068.63	$1,168.83	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.48 / $1,143.17 / $1,413.78	Professional		$1,052.48	$1,143.17	$1,413.78
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 $800.53 / $970.05 / $1,560.99	Professional		$800.53	$970.05	$1,560.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,083.83 / $1,487.61 / $1,716.06	Facility		$1,083.83	$1,487.61	$1,716.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,038.67 / $1,487.61 / $2,125.16	Professional		$1,038.67	$1,487.61	$2,125.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.61 / $1,306.61 / $1,306.61	Facility		$1,306.61	$1,306.61	$1,306.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.78 / $1,385.70 / $2,166.38	Professional		$1,049.78	$1,385.70	$2,166.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,168.83	Professional		$32.34	$32.34	$1,168.83
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 $1,039.23 / $1,361.88 / $2,210.62	Professional		$1,039.23	$1,361.88	$2,210.62