Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.00 / $1,855.07 / $8,229.00	Facility		$1,241.00	$1,855.07	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.41 / $1,812.50 / $2,237.19	Professional		$1,667.41	$1,812.50	$2,237.19
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 $1,331.61 / $1,613.60 / $2,493.27	Professional		$1,331.61	$1,613.60	$2,493.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,716.74 / $2,356.31 / $2,718.18	Facility		$1,716.74	$2,356.31	$2,718.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,683.08 / $2,356.31 / $3,366.16	Professional		$1,683.08	$2,356.31	$3,366.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.42 / $2,068.42 / $2,068.42	Facility		$2,068.42	$2,068.42	$2,068.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.68 / $2,238.58 / $3,472.01	Professional		$1,723.68	$2,238.58	$3,472.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,851.39	Professional		$32.34	$32.34	$1,851.39
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 $1,619.23 / $2,175.94 / $3,542.05	Professional		$1,619.23	$2,175.94	$3,542.05