Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,678.39 / $2,165.03 / $8,229.00	Facility		$1,678.39	$2,165.03	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,868.63 / $2,116.21 / $2,617.15	Professional		$1,868.63	$2,116.21	$2,617.15
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 $1,433.21 / $1,706.03 / $2,821.25	Professional		$1,433.21	$1,706.03	$2,821.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,007.58 / $2,755.49 / $3,178.66	Facility		$2,007.58	$2,755.49	$3,178.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,968.21 / $2,755.49 / $3,936.42	Professional		$1,968.21	$2,755.49	$3,936.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,420.59 / $2,420.59 / $2,420.59	Facility		$2,420.59	$2,420.59	$2,420.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,765.67 / $2,515.12 / $4,079.55	Professional		$1,765.67	$2,515.12	$4,079.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,165.03	Professional		$32.34	$32.34	$2,165.03
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 $1,817.64 / $2,530.39 / $4,151.95	Professional		$1,817.64	$2,530.39	$4,151.95