Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,149.23 / $2,353.55 / $8,229.00	Facility		$2,149.23	$2,353.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,115.42 / $2,300.54 / $2,846.13	Professional		$2,115.42	$2,300.54	$2,846.13
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 $1,549.28 / $1,877.36 / $3,070.13	Professional		$1,549.28	$1,877.36	$3,070.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,182.38 / $2,995.43 / $3,455.44	Facility		$2,182.38	$2,995.43	$3,455.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,091.44 / $2,995.43 / $4,279.18	Professional		$2,091.44	$2,995.43	$4,279.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,631.54 / $2,631.54 / $2,631.54	Facility		$2,631.54	$2,631.54	$2,631.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,006.69 / $2,778.80 / $4,423.71	Professional		$2,006.69	$2,778.80	$4,423.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,353.55	Professional		$32.34	$32.34	$2,353.55
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 $2,033.50 / $2,752.98 / $4,517.18	Professional		$2,033.50	$2,752.98	$4,517.18