Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.42 / $1,367.12 / $1,412.33	Facility		$1,128.42	$1,367.12	$1,412.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.85 / $1,128.42 / $1,367.12	Professional		$1,099.85	$1,128.42	$1,367.12
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 $1,002.49 / $1,179.40 / $1,842.60	Professional		$1,002.49	$1,179.40	$1,842.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,323.80 / $1,797.52 / $2,073.57	Facility		$1,323.80	$1,797.52	$2,073.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,255.05 / $1,797.52 / $2,567.88	Professional		$1,255.05	$1,797.52	$2,567.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,347.22 / $1,590.97 / $1,590.97	Facility		$1,347.22	$1,590.97	$1,590.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.00 / $1,595.47 / $2,540.65	Professional		$1,060.00	$1,595.47	$2,540.65
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 $1,100.58 / $1,476.23 / $2,236.46	Professional		$1,100.58	$1,476.23	$2,236.46