Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.81 / $1,314.79 / $8,229.00	Facility		$1,134.81	$1,314.79	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.81 / $1,281.54 / $1,577.48	Professional		$1,134.81	$1,281.54	$1,577.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.77 / $1,087.89 / $1,743.11	Professional		$897.77	$1,087.89	$1,743.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,219.16 / $1,673.36 / $1,930.34	Facility		$1,219.16	$1,673.36	$1,930.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,168.36 / $1,673.36 / $2,390.52	Professional		$1,168.36	$1,673.36	$2,390.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,464.18 / $1,464.18 / $1,464.18	Facility		$1,464.18	$1,464.18	$1,464.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.80 / $1,520.35 / $2,416.92	Professional		$1,110.80	$1,520.35	$2,416.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,314.79	Professional		$32.34	$32.34	$1,314.79
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 $1,112.21 / $1,501.20 / $2,463.21	Professional		$1,112.21	$1,501.20	$2,463.21