Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.53 / $1,912.90 / $8,229.00	Facility		$1,813.53	$1,912.90	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,723.02 / $1,874.29 / $2,316.30	Professional		$1,723.02	$1,874.29	$2,316.30
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 $1,414.91 / $1,714.54 / $2,587.13	Professional		$1,414.91	$1,714.54	$2,587.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,773.78 / $2,434.60 / $2,808.49	Facility		$1,773.78	$2,434.60	$2,808.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,699.87 / $2,434.60 / $3,478.00	Professional		$1,699.87	$2,434.60	$3,478.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,139.92 / $2,139.92 / $2,139.92	Facility		$2,139.92	$2,139.92	$2,139.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.78 / $2,304.67 / $3,588.20	Professional		$1,787.78	$2,304.67	$3,588.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,912.90	Professional		$32.34	$32.34	$1,912.90
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 $1,681.13 / $2,231.23 / $3,661.10	Professional		$1,681.13	$2,231.23	$3,661.10