Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,679.81 / $13,304.00	Facility		$1,194.00	$1,679.81	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.14 / $1,392.73 / $1,492.01	Professional		$1,262.14	$1,392.73	$1,492.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,018.00 / $12,101.00	Facility		$3,104.00	$5,018.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.79 / $1,562.92 / $2,099.46	Professional		$1,289.79	$1,562.92	$2,099.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,405.46 / $1,920.56 / $2,215.51	Facility		$1,405.46	$1,920.56	$2,215.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,556.97 / $1,920.56 / $2,743.66	Professional		$1,556.97	$1,920.56	$2,743.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,696.76 / $1,699.04 / $1,699.04	Facility		$1,696.76	$1,699.04	$1,699.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,542.97 / $1,972.12 / $3,289.90	Professional		$1,542.97	$1,972.12	$3,289.90
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 $1,319.48 / $1,951.15 / $3,018.47	Professional		$1,319.48	$1,951.15	$3,018.47