Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,547.62 / $8,229.00	Facility		$1,194.00	$1,547.62	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.33 / $1,547.62 / $1,885.88	Professional		$1,420.33	$1,547.62	$1,885.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,712.00 / $5,199.00 / $11,294.00	Facility		$2,712.00	$5,199.00	$11,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.04 / $1,296.71 / $1,993.02	Professional		$1,073.04	$1,296.71	$1,993.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,343.77 / $1,884.32 / $2,153.50	Facility		$1,343.77	$1,884.32	$2,153.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,345.94 / $1,884.32 / $2,691.88	Professional		$1,345.94	$1,884.32	$2,691.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.49 / $1,681.04 / $1,728.48	Facility		$1,293.49	$1,681.04	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.76 / $1,648.54 / $2,923.46	Professional		$1,243.76	$1,648.54	$2,923.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $805.70	Professional		$32.34	$32.34	$805.70
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 $1,183.95 / $1,499.16 / $2,519.62	Professional		$1,183.95	$1,499.16	$2,519.62