Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,151.96 / $2,463.73 / $8,229.00	Facility		$2,151.96	$2,463.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,090.73 / $2,221.53 / $2,748.55	Professional		$2,090.73	$2,221.53	$2,748.55
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 $1,742.16 / $2,111.09 / $3,188.15	Professional		$1,742.16	$2,111.09	$3,188.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,105.23 / $2,889.56 / $3,333.30	Facility		$2,105.23	$2,889.56	$3,333.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,268.91 / $2,889.56 / $4,127.93	Professional		$2,268.91	$2,889.56	$4,127.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,543.44 / $2,543.44 / $2,543.44	Facility		$2,543.44	$2,543.44	$2,543.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,150.98 / $2,837.72 / $4,544.01	Professional		$2,150.98	$2,837.72	$4,544.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,270.37	Professional		$32.34	$32.34	$2,270.37
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 $2,112.10 / $2,923.77 / $4,375.89	Professional		$2,112.10	$2,923.77	$4,375.89