Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.20 / $1,373.01 / $8,229.00	Facility		$1,258.20	$1,373.01	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.93 / $1,341.43 / $1,658.35	Professional		$1,235.93	$1,341.43	$1,658.35
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 $920.38 / $1,115.28 / $1,828.99	Professional		$920.38	$1,115.28	$1,828.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,273.15 / $1,747.47 / $2,015.82	Facility		$1,273.15	$1,747.47	$2,015.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,220.10 / $1,747.47 / $2,496.38	Professional		$1,220.10	$1,747.47	$2,496.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,533.78 / $1,533.78 / $1,533.78	Facility		$1,533.78	$1,533.78	$1,533.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.83 / $1,635.64 / $2,577.08	Professional		$1,195.83	$1,635.64	$2,577.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,373.01	Professional		$32.34	$32.34	$1,373.01
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 $1,176.60 / $1,598.62 / $2,726.81	Professional		$1,176.60	$1,598.62	$2,726.81