Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,956.07 / $8,229.00	Facility		$2,747.00	$2,956.07	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,517.17 / $2,886.79 / $3,565.03	Professional		$2,517.17	$2,886.79	$3,565.03
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 $2,311.94 / $2,801.53 / $3,862.92	Professional		$2,311.94	$2,801.53	$3,862.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,741.09 / $3,762.28 / $4,340.06	Facility		$2,741.09	$3,762.28	$4,340.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,969.51 / $3,762.28 / $5,374.68	Professional		$2,969.51	$3,762.28	$5,374.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,301.00 / $3,301.00 / $3,301.00	Facility		$3,301.00	$3,301.00	$3,301.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,758.10 / $3,533.80 / $5,402.73	Professional		$2,758.10	$3,533.80	$5,402.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,956.07	Professional		$32.34	$32.34	$2,956.07
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 $2,484.83 / $3,427.36 / $5,527.17	Professional		$2,484.83	$3,427.36	$5,527.17