Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.44 / $1,321.09 / $13,304.00	Facility		$1,070.44	$1,321.09	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,070.44 / $1,105.67 / $1,321.09	Professional		$1,070.44	$1,105.67	$1,321.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,592.68 / $21,957.82	Facility		$7,212.00	$9,592.68	$21,957.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.18 / $1,179.27 / $1,605.39	Professional		$973.18	$1,179.27	$1,605.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,024.33 / $1,404.91 / $1,620.66	Facility		$1,024.33	$1,404.91	$1,620.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,133.99 / $1,404.91 / $2,007.02	Professional		$1,133.99	$1,404.91	$2,007.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.36 / $1,231.55 / $1,231.55	Facility		$1,112.36	$1,231.55	$1,231.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.24 / $1,543.27 / $2,315.94	Professional		$1,049.24	$1,543.27	$2,315.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,037.80 / $1,458.80 / $2,123.06	Professional		$1,037.80	$1,458.80	$2,123.06