Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.00 / $2,765.10 / $8,229.00	Facility		$1,241.00	$2,765.10	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,499.79 / $2,705.58 / $3,353.24	Professional		$2,499.79	$2,705.58	$3,353.24
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 $2,053.00 / $2,487.76 / $3,835.58	Professional		$2,053.00	$2,487.76	$3,835.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,564.00 / $3,519.22 / $4,059.67	Facility		$2,564.00	$3,519.22	$4,059.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,457.17 / $3,519.22 / $5,027.46	Professional		$2,457.17	$3,519.22	$5,027.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,111.12 / $3,111.12 / $3,111.12	Facility		$3,111.12	$3,111.12	$3,111.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,592.60 / $3,464.44 / $5,437.96	Professional		$2,592.60	$3,464.44	$5,437.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,765.10	Professional		$32.34	$32.34	$2,765.10
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 $2,459.00 / $3,436.04 / $5,611.18	Professional		$2,459.00	$3,436.04	$5,611.18