Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.73 / $1,547.02 / $13,304.00	Facility		$1,126.73	$1,547.02	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.73 / $1,176.70 / $1,455.98	Professional		$1,126.73	$1,176.70	$1,455.98
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 $1,045.72 / $1,267.17 / $2,066.80	Professional		$1,045.72	$1,267.17	$2,066.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,120.66 / $1,538.15 / $1,774.37	Facility		$1,120.66	$1,538.15	$1,774.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,199.82 / $1,538.15 / $2,197.36	Professional		$1,199.82	$1,538.15	$2,197.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,302.59 / $1,349.10 / $1,349.10	Facility		$1,302.59	$1,349.10	$1,349.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.99 / $1,695.62 / $2,538.83	Professional		$1,151.99	$1,695.62	$2,538.83
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.10 / $1,604.69 / $2,471.01	Professional		$1,083.10	$1,604.69	$2,471.01