Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,723.90 / $1,825.74 / $8,229.00	Facility		$1,723.90	$1,825.74	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,644.26 / $1,783.98 / $2,207.84	Professional		$1,644.26	$1,783.98	$2,207.84
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 $1,274.83 / $1,544.79 / $2,458.58	Professional		$1,274.83	$1,544.79	$2,458.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,707.19 / $2,323.66 / $2,680.52	Facility		$1,707.19	$2,323.66	$2,680.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,622.42 / $2,323.66 / $3,319.52	Professional		$1,622.42	$2,323.66	$3,319.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,040.31 / $2,040.31 / $2,040.31	Facility		$2,040.31	$2,040.31	$2,040.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,644.34 / $2,192.01 / $3,429.95	Professional		$1,644.34	$2,192.01	$3,429.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,825.74	Professional		$32.34	$32.34	$1,825.74
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 $1,609.11 / $2,146.69 / $3,728.03	Professional		$1,609.11	$2,146.69	$3,728.03