Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,815.18 / $1,917.07 / $8,229.00	Facility		$1,815.18	$1,917.07	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.26 / $1,873.62 / $2,318.40	Professional		$1,726.26	$1,873.62	$2,318.40
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 $1,251.82 / $1,472.74 / $2,465.84	Professional		$1,251.82	$1,472.74	$2,465.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,777.64 / $2,439.91 / $2,814.60	Facility		$1,777.64	$2,439.91	$2,814.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,918.04 / $2,439.91 / $3,485.58	Professional		$1,918.04	$2,439.91	$3,485.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,142.85 / $2,142.85 / $2,142.85	Facility		$2,142.85	$2,142.85	$2,142.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,609.54 / $2,243.69 / $3,624.43	Professional		$1,609.54	$2,243.69	$3,624.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,917.07	Professional		$32.34	$32.34	$1,917.07
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 $1,661.86 / $2,251.67 / $3,675.57	Professional		$1,661.86	$2,251.67	$3,675.57