Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,167.03 / $8,229.00	Facility		$2,747.00	$3,167.03	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,656.50 / $3,094.85 / $4,176.32	Professional		$2,656.50	$3,094.85	$4,176.32
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 $2,476.21 / $3,000.61 / $4,225.10	Professional		$2,476.21	$3,000.61	$4,225.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,936.70 / $4,030.77 / $4,649.78	Facility		$2,936.70	$4,030.77	$4,649.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,814.34 / $4,030.77 / $5,758.24	Professional		$2,814.34	$4,030.77	$5,758.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,539.93 / $3,539.93 / $3,539.93	Facility		$3,539.93	$3,539.93	$3,539.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,975.34 / $3,892.96 / $5,852.13	Professional		$2,975.34	$3,892.96	$5,852.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,167.03	Professional		$32.34	$32.34	$3,167.03
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 $2,677.93 / $3,783.86 / $5,852.13	Professional		$2,677.93	$3,783.86	$5,852.13