Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,744.03 / $1,939.85 / $8,229.00	Facility		$1,744.03	$1,939.85	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,657.46 / $1,804.38 / $2,227.52	Professional		$1,657.46	$1,804.38	$2,227.52
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 $1,307.22 / $1,584.04 / $2,472.42	Professional		$1,307.22	$1,584.04	$2,472.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,709.59 / $2,346.50 / $2,706.85	Facility		$1,709.59	$2,346.50	$2,706.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,638.36 / $2,346.50 / $3,352.14	Professional		$1,638.36	$2,346.50	$3,352.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,060.11 / $2,060.11 / $2,060.11	Facility		$2,060.11	$2,060.11	$2,060.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,716.76 / $2,290.29 / $3,425.31	Professional		$1,716.76	$2,290.29	$3,425.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,843.68	Professional		$32.34	$32.34	$1,843.68
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 $1,611.86 / $2,149.17 / $3,662.20	Professional		$1,611.86	$2,149.17	$3,662.20