Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,869.24 / $8,229.00	Facility		$2,747.00	$3,869.24	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,463.17 / $3,873.04 / $4,790.70	Professional		$3,463.17	$3,873.04	$4,790.70
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 $2,469.25 / $2,915.61 / $5,077.67	Professional		$2,469.25	$2,915.61	$5,077.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,676.86 / $5,046.68 / $5,821.70	Facility		$3,676.86	$5,046.68	$5,821.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,604.77 / $5,046.68 / $7,209.54	Professional		$3,604.77	$5,046.68	$7,209.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,429.10 / $4,429.10 / $4,429.10	Facility		$4,429.10	$4,429.10	$4,429.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,387.20 / $4,600.25 / $7,236.22	Professional		$3,387.20	$4,600.25	$7,236.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,965.25	Professional		$32.34	$32.34	$3,965.25
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 $3,409.79 / $4,637.24 / $7,589.45	Professional		$3,409.79	$4,637.24	$7,589.45