Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.03 / $1,240.47 / $13,304.00	Facility		$1,042.03	$1,240.47	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.03 / $1,148.94 / $1,191.45	Professional		$1,042.03	$1,148.94	$1,191.45
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 $933.30 / $1,130.94 / $1,688.93	Professional		$933.30	$1,130.94	$1,688.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,159.66 / $1,578.78 / $1,821.25	Facility		$1,159.66	$1,578.78	$1,821.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,296.85 / $1,578.78 / $2,255.40	Professional		$1,296.85	$1,578.78	$2,255.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.73 / $1,411.49 / $1,411.49	Facility		$1,134.73	$1,411.49	$1,411.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.69 / $1,515.46 / $2,604.98	Professional		$1,206.69	$1,515.46	$2,604.98
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 $1,050.20 / $1,514.55 / $2,306.13	Professional		$1,050.20	$1,514.55	$2,306.13