Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.19 / $1,942.90 / $8,229.00	Facility		$1,521.19	$1,942.90	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.09 / $1,567.87 / $2,109.40	Professional		$1,462.09	$1,567.87	$2,109.40
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 $1,424.71 / $1,726.41 / $2,857.59	Professional		$1,424.71	$1,726.41	$2,857.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,485.70 / $2,039.20 / $2,352.35	Facility		$1,485.70	$2,039.20	$2,352.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,456.57 / $2,039.20 / $2,913.14	Professional		$1,456.57	$2,039.20	$2,913.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,795.73 / $1,795.73 / $1,795.73	Facility		$1,795.73	$1,795.73	$1,795.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.85 / $2,232.50 / $3,427.39	Professional		$1,541.85	$2,232.50	$3,427.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,602.23	Professional		$32.34	$32.34	$1,602.23
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 $1,498.15 / $2,082.83 / $3,232.85	Professional		$1,498.15	$2,082.83	$3,232.85