Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.05 / $1,417.52 / $13,304.00	Facility		$1,084.05	$1,417.52	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.94 / $1,191.26 / $1,302.36	Professional		$1,080.94	$1,191.26	$1,302.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,987.00 / $21,322.13	Facility		$7,062.90	$9,987.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $885.53 / $1,073.05 / $1,706.30	Professional		$885.53	$1,073.05	$1,706.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,169.16 / $1,604.74 / $1,851.17	Facility		$1,169.16	$1,604.74	$1,851.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,279.43 / $1,604.74 / $2,292.48	Professional		$1,279.43	$1,604.74	$2,292.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,117.40 / $1,417.31 / $1,417.31	Facility		$1,117.40	$1,417.31	$1,417.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.97 / $1,702.89 / $2,946.83	Professional		$1,177.97	$1,702.89	$2,946.83
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 $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 $1,146.96 / $1,732.30 / $2,492.01	Professional		$1,146.96	$1,732.30	$2,492.01