Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.50 / $1,332.30 / $8,229.00	Facility		$1,096.50	$1,332.30	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.47 / $1,132.43 / $1,400.48	Professional		$1,040.47	$1,132.43	$1,400.48
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 $919.99 / $1,114.82 / $1,783.30	Professional		$919.99	$1,114.82	$1,783.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,075.93 / $1,476.76 / $1,703.56	Facility		$1,075.93	$1,476.76	$1,703.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,165.58 / $1,476.76 / $2,109.66	Professional		$1,165.58	$1,476.76	$2,109.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.96 / $1,294.96 / $1,294.96	Facility		$1,294.96	$1,294.96	$1,294.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.08 / $1,446.28 / $2,282.23	Professional		$1,098.08	$1,446.28	$2,282.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,160.31	Professional		$32.34	$32.34	$1,160.31
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 $1,043.15 / $1,400.00 / $2,209.12	Professional		$1,043.15	$1,400.00	$2,209.12