Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,046.95 / $2,208.02 / $8,229.00	Facility		$2,046.95	$2,208.02	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,925.79 / $2,155.06 / $2,660.80	Professional		$1,925.79	$2,155.06	$2,660.80
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 $1,350.22 / $1,636.14 / $2,869.66	Professional		$1,350.22	$1,636.14	$2,869.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,047.44 / $2,810.21 / $3,241.78	Facility		$2,047.44	$2,810.21	$3,241.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,218.06 / $2,810.21 / $4,014.58	Professional		$2,218.06	$2,810.21	$4,014.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,462.84 / $2,462.84 / $2,462.84	Facility		$2,462.84	$2,462.84	$2,462.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.03 / $2,547.73 / $3,982.84	Professional		$1,812.03	$2,547.73	$3,982.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,208.02	Professional		$32.34	$32.34	$2,208.02
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 $1,834.71 / $2,483.78 / $4,171.52	Professional		$1,834.71	$2,483.78	$4,171.52