Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.00 / $1,854.72 / $8,229.00	Facility		$1,241.00	$1,854.72	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.48 / $1,742.13 / $2,149.91	Professional		$1,583.48	$1,742.13	$2,149.91
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 $1,377.10 / $1,668.72 / $2,392.89	Professional		$1,377.10	$1,668.72	$2,392.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,649.36 / $2,263.83 / $2,611.48	Facility		$1,649.36	$2,263.83	$2,611.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,617.02 / $2,263.83 / $3,234.04	Professional		$1,617.02	$2,263.83	$3,234.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,988.99 / $1,988.99 / $1,988.99	Facility		$1,988.99	$1,988.99	$1,988.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,680.55 / $2,162.51 / $3,304.15	Professional		$1,680.55	$2,162.51	$3,304.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,778.72	Professional		$32.34	$32.34	$1,778.72
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 $1,596.59 / $2,113.19 / $3,533.07	Professional		$1,596.59	$2,113.19	$3,533.07