Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,776.20 / $3,919.60 / $21,261.40	Facility		$3,776.20	$3,919.60	$21,261.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,346.00 / $3,824.00 / $4,780.00	Professional		$3,346.00	$3,824.00	$4,780.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,975.55 / $4,302.00 / $5,023.78	Facility		$2,975.55	$4,302.00	$5,023.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,275.28 / $3,824.00 / $3,824.00	Professional		$2,275.28	$3,824.00	$3,824.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,736.00 / $45,499.55 / $120,456.00	Facility		$5,736.00	$45,499.55	$120,456.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,497.00 / $6,692.00 / $88,659.11	Professional		$5,497.00	$6,692.00	$88,659.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $3,719.32 / $6,307.21	Facility		$3,107.00	$3,719.32	$6,307.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,547.41 / $23,039.60 / $23,039.60	Professional		$5,547.41	$23,039.60	$23,039.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $5,736.00	Facility		$4,780.00	$4,780.00	$5,736.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $5,258.00	Professional		$2,007.60	$2,868.00	$5,258.00