Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.00 / $2,035.64 / $8,229.00	Facility		$1,241.00	$2,035.64	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,718.87 / $1,844.44 / $2,317.54	Professional		$1,718.87	$1,844.44	$2,317.54
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 $1,458.85 / $1,767.79 / $2,680.55	Professional		$1,458.85	$1,767.79	$2,680.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,758.11 / $2,413.10 / $2,783.67	Facility		$1,758.11	$2,413.10	$2,783.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,723.64 / $2,413.10 / $3,447.28	Professional		$1,723.64	$2,413.10	$3,447.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,124.06 / $2,124.06 / $2,124.06	Facility		$2,124.06	$2,124.06	$2,124.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,801.36 / $2,339.48 / $3,778.89	Professional		$1,801.36	$2,339.48	$3,778.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,896.00	Professional		$32.34	$32.34	$1,896.00
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 $1,750.44 / $2,354.69 / $3,742.75	Professional		$1,750.44	$2,354.69	$3,742.75