Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.58 / $1,335.53 / $8,229.00	Facility		$1,261.58	$1,335.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.53 / $1,307.47 / $1,611.34	Professional		$1,201.53	$1,307.47	$1,611.34
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 $1,026.36 / $1,243.73 / $1,797.77	Professional		$1,026.36	$1,243.73	$1,797.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,236.04 / $1,696.52 / $1,957.06	Facility		$1,236.04	$1,696.52	$1,957.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,211.80 / $1,696.52 / $2,423.60	Professional		$1,211.80	$1,696.52	$2,423.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,489.16 / $1,489.16 / $1,489.16	Facility		$1,489.16	$1,489.16	$1,489.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.55 / $1,620.61 / $2,515.76	Professional		$1,262.55	$1,620.61	$2,515.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,332.98	Professional		$32.34	$32.34	$1,332.98
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 $1,186.14 / $1,580.36 / $2,552.10	Professional		$1,186.14	$1,580.36	$2,552.10