Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.00 / $1,690.98 / $8,229.00	Facility		$1,241.00	$1,690.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.47 / $1,596.26 / $2,069.16	Professional		$1,461.47	$1,596.26	$2,069.16
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 $1,251.65 / $1,516.72 / $2,190.86	Professional		$1,251.65	$1,516.72	$2,190.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,511.82 / $2,075.05 / $2,393.71	Facility		$1,511.82	$2,075.05	$2,393.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,630.40 / $2,075.05 / $2,964.36	Professional		$1,630.40	$2,075.05	$2,964.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,821.35 / $1,821.35 / $1,821.35	Facility		$1,821.35	$1,821.35	$1,821.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,539.53 / $2,012.44 / $3,044.85	Professional		$1,539.53	$2,012.44	$3,044.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,630.40	Professional		$32.34	$32.34	$1,630.40
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 $1,452.41 / $1,902.24 / $3,231.91	Professional		$1,452.41	$1,902.24	$3,231.91