Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.86 / $1,969.71 / $2,564.75	Facility		$1,625.86	$1,969.71	$2,564.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,625.86 / $2,036.69 / $3,671.34	Professional		$1,625.86	$2,036.69	$3,671.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,875.95 / $2,207.00 / $3,282.28	Professional		$1,875.95	$2,207.00	$3,282.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,264.23 / $3,264.23 / $3,264.23	Facility		$3,264.23	$3,264.23	$3,264.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,681.33 / $3,134.66 / $5,246.08	Professional		$2,681.33	$3,134.66	$5,246.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,825.45 / $2,888.28 / $2,888.28	Facility		$1,825.45	$2,888.28	$2,888.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,805.59 / $2,595.19 / $4,259.91	Professional		$1,805.59	$2,595.19	$4,259.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,850.00 / $2,400.39 / $3,693.13	Professional		$1,850.00	$2,400.39	$3,693.13