Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,735.87 / $2,222.65 / $2,749.04	Facility		$1,735.87	$2,222.65	$2,749.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,735.87 / $2,118.78 / $2,552.73	Professional		$1,735.87	$2,118.78	$2,552.73
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 $1,785.00 / $2,100.00 / $3,293.16	Professional		$1,785.00	$2,100.00	$3,293.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,498.78 / $3,498.78 / $3,498.78	Facility		$3,498.78	$3,498.78	$3,498.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,442.90 / $3,360.14 / $5,623.04	Professional		$2,442.90	$3,360.14	$5,623.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,190.29 / $3,096.62 / $3,096.62	Facility		$2,190.29	$3,096.62	$3,096.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,960.00 / $2,836.17 / $4,546.22	Professional		$1,960.00	$2,836.17	$4,546.22
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 $2,065.11 / $2,548.78 / $3,931.29	Professional		$2,065.11	$2,548.78	$3,931.29