Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,447.15 / $2,696.44 / $8,229.00	Facility		$2,447.15	$2,696.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,336.55 / $2,542.73 / $3,125.57	Professional		$2,336.55	$2,542.73	$3,125.57
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 $1,776.58 / $2,124.58 / $3,477.26	Professional		$1,776.58	$2,124.58	$3,477.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,418.30 / $3,319.23 / $3,828.98	Facility		$2,418.30	$3,319.23	$3,828.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,317.54 / $3,319.23 / $4,741.76	Professional		$2,317.54	$3,319.23	$4,741.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,910.22 / $2,910.22 / $2,910.22	Facility		$2,910.22	$2,910.22	$2,910.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,380.02 / $3,168.60 / $5,043.91	Professional		$2,380.02	$3,168.60	$5,043.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,607.96	Professional		$32.34	$32.34	$2,607.96
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 $2,288.19 / $3,253.91 / $4,977.12	Professional		$2,288.19	$3,253.91	$4,977.12