Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,384.62 / $4,254.72 / $8,229.00	Facility		$2,384.62	$4,254.72	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,015.13 / $4,379.62 / $5,434.26	Professional		$4,015.13	$4,379.62	$5,434.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,413.40 / $3,726.69 / $6,013.30	Professional		$2,413.40	$3,726.69	$6,013.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,150.60 / $5,696.91 / $6,571.80	Facility		$4,150.60	$5,696.91	$6,571.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,403.51 / $5,696.91 / $8,138.44	Professional		$4,403.51	$5,696.91	$8,138.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,017.04 / $5,017.04 / $5,017.04	Facility		$5,017.04	$5,017.04	$5,017.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,157.11 / $5,335.59 / $8,698.29	Professional		$3,157.11	$5,335.59	$8,698.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,476.14	Professional		$32.34	$32.34	$4,476.14
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,582.27 / $5,381.25 / $9,077.50	Professional		$3,582.27	$5,381.25	$9,077.50