Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.30 / $2,214.61 / $8,229.00	Facility		$1,717.30	$2,214.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,909.59 / $2,167.40 / $2,681.80	Professional		$1,909.59	$2,167.40	$2,681.80
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 $1,819.34 / $2,204.62 / $3,000.31	Professional		$1,819.34	$2,204.62	$3,000.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,053.55 / $2,818.59 / $3,251.45	Facility		$2,053.55	$2,818.59	$3,251.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,967.98 / $2,818.59 / $4,026.56	Professional		$1,967.98	$2,818.59	$4,026.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,477.98 / $2,477.98 / $2,477.98	Facility		$2,477.98	$2,477.98	$2,477.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,092.07 / $2,740.24 / $4,145.79	Professional		$2,092.07	$2,740.24	$4,145.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,214.61	Professional		$32.34	$32.34	$2,214.61
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 $1,985.47 / $2,649.51 / $4,433.18	Professional		$1,985.47	$2,649.51	$4,433.18