Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.69 / $1,947.50 / $8,229.00	Facility		$1,673.69	$1,947.50	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,592.20 / $1,733.83 / $2,137.67	Professional		$1,592.20	$1,733.83	$2,137.67
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 $1,394.38 / $1,689.66 / $2,414.90	Professional		$1,394.38	$1,689.66	$2,414.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,636.28 / $2,245.88 / $2,590.78	Facility		$1,636.28	$2,245.88	$2,590.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,568.11 / $2,245.88 / $3,208.40	Professional		$1,568.11	$2,245.88	$3,208.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,974.88 / $1,974.88 / $1,974.88	Facility		$1,974.88	$1,974.88	$1,974.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,675.14 / $2,196.64 / $3,437.31	Professional		$1,675.14	$2,196.64	$3,437.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,764.62	Professional		$32.34	$32.34	$1,764.62
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 $1,569.13 / $2,113.41 / $3,446.77	Professional		$1,569.13	$2,113.41	$3,446.77