Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $1,588.55 / $8,229.00	Facility		$1,168.00	$1,588.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.18 / $1,395.61 / $1,537.50	Professional		$1,210.18	$1,395.61	$1,537.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,496.00 / $10,683.00 / $11,870.00	Facility		$9,496.00	$10,683.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,177.45 / $1,385.24 / $2,230.82	Professional		$1,177.45	$1,385.24	$2,230.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,235.40 / $1,685.54 / $1,944.40	Facility		$1,235.40	$1,685.54	$1,944.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,203.96 / $1,685.54 / $2,407.92	Professional		$1,203.96	$1,685.54	$2,407.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,483.67 / $1,483.67 / $1,664.23	Facility		$1,483.67	$1,483.67	$1,664.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,358.94 / $1,846.85 / $2,884.09	Professional		$1,358.94	$1,846.85	$2,884.09
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 $1,666.00 / $8,525.00 / $29,921.00	Facility		$1,666.00	$8,525.00	$29,921.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,254.17 / $1,773.62 / $2,526.96	Professional		$1,254.17	$1,773.62	$2,526.96