Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,791.53 / $8,229.00	Facility		$2,747.00	$4,791.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,305.39 / $4,677.17 / $5,761.41	Professional		$4,305.39	$4,677.17	$5,761.41
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 $3,649.58 / $4,422.39 / $6,548.24	Professional		$3,649.58	$4,422.39	$6,548.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,443.06 / $6,098.32 / $7,034.85	Facility		$4,443.06	$6,098.32	$7,034.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,355.93 / $6,098.32 / $8,711.87	Professional		$4,355.93	$6,098.32	$8,711.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,349.05 / $5,349.05 / $5,349.05	Facility		$5,349.05	$5,349.05	$5,349.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,533.64 / $5,713.25 / $9,000.87	Professional		$4,533.64	$5,713.25	$9,000.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,791.53	Professional		$32.34	$32.34	$4,791.53
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 $4,314.70 / $5,591.11 / $9,174.08	Professional		$4,314.70	$5,591.11	$9,174.08