Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.00 / $2,049.37 / $8,229.00	Facility		$1,241.00	$2,049.37	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.56 / $1,831.96 / $2,410.38	Professional		$1,689.56	$1,831.96	$2,410.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,923.72 / $7,537.12 / $11,845.28	Facility		$3,923.72	$7,537.12	$11,845.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,462.68 / $1,772.42 / $2,593.73	Professional		$1,462.68	$1,772.42	$2,593.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,703.92 / $2,338.69 / $2,697.87	Facility		$1,703.92	$2,338.69	$2,697.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,632.91 / $2,338.69 / $3,341.00	Professional		$1,632.91	$2,338.69	$3,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,055.25 / $2,055.25 / $2,055.25	Facility		$2,055.25	$2,055.25	$2,055.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,749.23 / $2,280.10 / $3,633.54	Professional		$1,749.23	$2,280.10	$3,633.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,837.55	Professional		$32.34	$32.34	$1,837.55
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 $1,659.39 / $2,266.77 / $3,687.80	Professional		$1,659.39	$2,266.77	$3,687.80