Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,744.46 / $2,852.38 / $8,229.00	Facility		$1,744.46	$2,852.38	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,669.93 / $3,014.04 / $3,643.13	Professional		$2,669.93	$3,014.04	$3,643.13
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 $1,893.80 / $2,410.30 / $3,985.57	Professional		$1,893.80	$2,410.30	$3,985.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,857.21 / $3,921.67 / $4,523.92	Facility		$2,857.21	$3,921.67	$4,523.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,738.16 / $3,921.67 / $5,602.38	Professional		$2,738.16	$3,921.67	$5,602.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,447.56 / $3,447.56 / $3,447.56	Facility		$3,447.56	$3,447.56	$3,447.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,104.46 / $3,544.44 / $5,675.90	Professional		$2,104.46	$3,544.44	$5,675.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,081.31	Professional		$32.34	$32.34	$3,081.31
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 $2,467.10 / $3,460.47 / $5,934.86	Professional		$2,467.10	$3,460.47	$5,934.86