Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,349.77 / $8,229.00	Facility		$2,747.00	$4,349.77	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,906.73 / $4,246.72 / $5,243.94	Professional		$3,906.73	$4,246.72	$5,243.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,316.28 / $4,018.55 / $5,830.75	Professional		$3,316.28	$4,018.55	$5,830.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,033.43 / $5,536.08 / $6,386.26	Facility		$4,033.43	$5,536.08	$6,386.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,865.37 / $5,536.08 / $7,908.68	Professional		$3,865.37	$5,536.08	$7,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,856.28 / $4,856.28 / $4,856.28	Facility		$4,856.28	$4,856.28	$4,856.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,100.67 / $5,160.54 / $8,192.50	Professional		$4,100.67	$5,160.54	$8,192.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,349.77	Professional		$32.34	$32.34	$4,349.77
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 $3,820.72 / $5,079.30 / $8,311.23	Professional		$3,820.72	$5,079.30	$8,311.23