Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,912.36 / $2,020.50 / $8,229.00	Facility		$1,912.36	$2,020.50	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,817.66 / $1,976.82 / $3,105.65	Professional		$1,817.66	$1,976.82	$3,105.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,362.89 / $1,603.40 / $2,690.78	Professional		$1,362.89	$1,603.40	$2,690.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,873.56 / $2,571.55 / $2,966.47	Facility		$1,873.56	$2,571.55	$2,966.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,795.49 / $2,571.55 / $3,673.64	Professional		$1,795.49	$2,571.55	$3,673.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,258.30 / $2,258.30 / $2,258.30	Facility		$2,258.30	$2,258.30	$2,258.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,772.66 / $2,455.79 / $3,824.59	Professional		$1,772.66	$2,455.79	$3,824.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,020.50	Professional		$32.34	$32.34	$2,020.50
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 $1,734.06 / $2,358.71 / $4,029.46	Professional		$1,734.06	$2,358.71	$4,029.46