Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,538.41 / $13,304.00	Facility		$1,194.00	$1,538.41	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,293.10 / $1,424.83 / $1,477.00	Professional		$1,293.10	$1,424.83	$1,477.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,127.02 / $1,365.68 / $2,094.98	Professional		$1,127.02	$1,365.68	$2,094.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,437.96 / $1,957.97 / $2,258.66	Facility		$1,437.96	$1,957.97	$2,258.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,367.08 / $1,957.97 / $3,146.74	Professional		$1,367.08	$1,957.97	$3,146.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,397.59 / $1,749.64 / $1,749.64	Facility		$1,397.59	$1,749.64	$1,749.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.00 / $1,904.62 / $3,246.56	Professional		$1,427.00	$1,904.62	$3,246.56
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,302.10 / $1,942.19 / $2,860.98	Professional		$1,302.10	$1,942.19	$2,860.98