Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,072.08 / $2,185.58 / $8,229.00	Facility		$2,072.08	$2,185.58	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,968.33 / $2,140.63 / $2,646.52	Professional		$1,968.33	$2,140.63	$2,646.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,452.23 / $1,754.70 / $2,831.38	Professional		$1,452.23	$1,754.70	$2,831.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,026.63 / $2,781.65 / $3,208.83	Facility		$2,026.63	$2,781.65	$3,208.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,942.18 / $2,781.65 / $3,973.78	Professional		$1,942.18	$2,781.65	$3,973.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,445.40 / $2,445.40 / $2,445.40	Facility		$2,445.40	$2,445.40	$2,445.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,813.25 / $2,567.54 / $4,101.43	Professional		$1,813.25	$2,567.54	$4,101.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,185.58	Professional		$32.34	$32.34	$2,185.58
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 $1,929.84 / $2,560.06 / $4,160.09	Professional		$1,929.84	$2,560.06	$4,160.09