Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.76 / $1,121.02 / $8,229.00	Facility		$1,061.76	$1,121.02	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.88 / $1,095.81 / $1,425.00	Professional		$981.88	$1,095.81	$1,425.00
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 $830.45 / $1,006.31 / $1,511.00	Professional		$830.45	$1,006.31	$1,511.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,039.49 / $1,426.75 / $1,645.86	Facility		$1,039.49	$1,426.75	$1,645.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,121.02 / $1,426.75 / $2,038.22	Professional		$1,121.02	$1,426.75	$2,038.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,252.98 / $1,252.98 / $1,252.98	Facility		$1,252.98	$1,252.98	$1,252.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.29 / $1,348.11 / $2,094.69	Professional		$1,048.29	$1,348.11	$2,094.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,121.02	Professional		$32.34	$32.34	$1,121.02
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $4,180.00 / $27,879.00	Facility		$405.00	$4,180.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $977.65 / $1,300.08 / $2,130.92	Professional		$977.65	$1,300.08	$2,130.92