Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,596.98 / $2,747.00 / $8,229.00	Facility		$2,596.98	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,475.69 / $2,684.59 / $3,623.06	Professional		$2,475.69	$2,684.59	$3,623.06
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 $1,983.30 / $2,403.30 / $3,687.66	Professional		$1,983.30	$2,403.30	$3,687.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,548.73 / $3,498.28 / $4,035.51	Facility		$2,548.73	$3,498.28	$4,035.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,442.55 / $3,498.28 / $4,997.54	Professional		$2,442.55	$3,498.28	$4,997.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,070.20 / $3,070.20 / $3,070.20	Facility		$3,070.20	$3,070.20	$3,070.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,558.50 / $3,341.28 / $5,190.93	Professional		$2,558.50	$3,341.28	$5,190.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,748.65	Professional		$32.34	$32.34	$2,748.65
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 $2,444.25 / $3,254.10 / $5,251.42	Professional		$2,444.25	$3,254.10	$5,251.42