Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,456.21 / $4,157.13 / $8,229.00	Facility		$2,456.21	$4,157.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,877.17 / $4,281.93 / $5,572.88	Professional		$3,877.17	$4,281.93	$5,572.88
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 $2,495.94 / $3,467.10 / $5,938.96	Professional		$2,495.94	$3,467.10	$5,938.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,059.10 / $5,571.30 / $6,426.90	Facility		$4,059.10	$5,571.30	$6,426.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,373.03 / $5,571.30 / $7,959.00	Professional		$4,373.03	$5,571.30	$7,959.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,904.50 / $4,904.50 / $4,904.50	Facility		$4,904.50	$4,904.50	$4,904.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,089.31 / $5,220.20 / $8,561.52	Professional		$3,089.31	$5,220.20	$8,561.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,377.45	Professional		$32.34	$32.34	$4,377.45
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 $3,639.45 / $5,308.66 / $8,853.45	Professional		$3,639.45	$5,308.66	$8,853.45