Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.98 / $1,736.21 / $8,229.00	Facility		$1,592.98	$1,736.21	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.52 / $1,648.15 / $2,034.60	Professional		$1,483.52	$1,648.15	$2,034.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,429.20 / $10,940.32 / $14,964.00	Facility		$5,429.20	$10,940.32	$14,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.42 / $1,431.60 / $2,263.09	Professional		$1,181.42	$1,431.60	$2,263.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,561.94 / $2,143.85 / $2,473.08	Facility		$1,561.94	$2,143.85	$2,473.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,496.87 / $2,143.85 / $3,062.64	Professional		$1,496.87	$2,143.85	$3,062.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,882.07 / $1,882.07 / $1,882.07	Facility		$1,882.07	$1,882.07	$1,882.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,559.36 / $2,033.12 / $3,131.66	Professional		$1,559.36	$2,033.12	$3,131.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,684.45	Professional		$32.34	$32.34	$1,684.45
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 $1,453.75 / $1,967.58 / $3,165.29	Professional		$1,453.75	$1,967.58	$3,165.29