Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,209.32 / $2,326.92 / $8,229.00	Facility		$2,209.32	$2,326.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,101.82 / $2,278.66 / $2,821.81	Professional		$2,101.82	$2,278.66	$2,821.81
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 $1,562.98 / $1,873.32 / $3,057.03	Professional		$1,562.98	$1,873.32	$3,057.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,157.69 / $2,961.55 / $3,416.35	Facility		$2,157.69	$2,961.55	$3,416.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,115.39 / $2,961.55 / $4,230.78	Professional		$2,115.39	$2,961.55	$4,230.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,605.12 / $2,605.12 / $2,605.12	Facility		$2,605.12	$2,605.12	$2,605.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,934.00 / $2,781.57 / $4,350.37	Professional		$1,934.00	$2,781.57	$4,350.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,326.92	Professional		$32.34	$32.34	$2,326.92
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 $2,018.93 / $2,729.57 / $4,488.02	Professional		$2,018.93	$2,729.57	$4,488.02