Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,929.23 / $8,229.00	Facility		$2,747.00	$2,929.23	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,638.53 / $2,869.83 / $3,552.01	Professional		$2,638.53	$2,869.83	$3,552.01
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 $2,249.94 / $2,726.41 / $3,969.93	Professional		$2,249.94	$2,726.41	$3,969.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,716.20 / $3,728.12 / $4,300.64	Facility		$2,716.20	$3,728.12	$4,300.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,603.02 / $3,728.12 / $5,325.88	Professional		$2,603.02	$3,728.12	$5,325.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,279.28 / $3,279.28 / $3,279.28	Facility		$3,279.28	$3,279.28	$3,279.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,758.30 / $3,524.69 / $5,551.77	Professional		$2,758.30	$3,524.69	$5,551.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,929.23	Professional		$32.34	$32.34	$2,929.23
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 $2,651.56 / $3,504.94 / $5,637.46	Professional		$2,651.56	$3,504.94	$5,637.46