Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,730.45 / $13,304.00	Facility		$1,194.00	$1,730.45	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.09 / $1,648.63 / $2,596.59	Professional		$1,500.09	$1,648.63	$2,596.59
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 $1,173.08 / $1,421.50 / $2,216.08	Professional		$1,173.08	$1,421.50	$2,216.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,619.33 / $2,202.40 / $2,540.62	Facility		$1,619.33	$2,202.40	$2,540.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,732.68 / $2,202.40 / $3,146.28	Professional		$1,732.68	$2,202.40	$3,146.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,515.22 / $1,961.78 / $1,961.78	Facility		$1,515.22	$1,961.78	$1,961.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,538.75 / $1,990.25 / $3,211.97	Professional		$1,538.75	$1,990.25	$3,211.97
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 / $5,592.00 / $10,966.00	Facility		$842.00	$5,592.00	$10,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,444.96 / $2,014.43 / $3,275.26	Professional		$1,444.96	$2,014.43	$3,275.26