Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,323.12 / $8,229.00	Facility		$2,747.00	$3,323.12	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,954.62 / $3,409.32 / $4,244.39	Professional		$2,954.62	$3,409.32	$4,244.39
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 $1,912.50 / $2,297.31 / $4,096.18	Professional		$1,912.50	$2,297.31	$4,096.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,196.72 / $4,387.64 / $5,061.47	Facility		$3,196.72	$4,387.64	$5,061.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,063.51 / $4,387.64 / $6,268.06	Professional		$3,063.51	$4,387.64	$6,268.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,904.99 / $3,904.99 / $3,904.99	Facility		$3,904.99	$3,904.99	$3,904.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,742.53 / $3,732.35 / $5,860.08	Professional		$2,742.53	$3,732.35	$5,860.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,447.43	Professional		$32.34	$32.34	$3,447.43
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 $2,814.19 / $3,535.81 / $6,792.20	Professional		$2,814.19	$3,535.81	$6,792.20