Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,198.11 / $2,329.34 / $8,229.00	Facility		$2,198.11	$2,329.34	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,031.86 / $2,273.46 / $2,807.49	Professional		$2,031.86	$2,273.46	$2,807.49
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 $1,501.69 / $1,819.70 / $3,075.42	Professional		$1,501.69	$1,819.70	$3,075.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,159.92 / $2,964.61 / $3,419.89	Facility		$2,159.92	$2,964.61	$3,419.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,332.16 / $2,964.61 / $4,235.16	Professional		$2,332.16	$2,964.61	$4,235.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,598.36 / $2,598.36 / $2,598.36	Facility		$2,598.36	$2,598.36	$2,598.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.21 / $2,693.82 / $4,235.28	Professional		$1,995.21	$2,693.82	$4,235.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,329.34	Professional		$32.34	$32.34	$2,329.34
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 $1,985.38 / $2,631.33 / $4,408.14	Professional		$1,985.38	$2,631.33	$4,408.14