Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,886.40 / $15,657.00 / $15,657.00	Facility		$2,886.40	$15,657.00	$15,657.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,822.39 / $4,822.39 / $15,657.00	Professional		$4,822.39	$4,822.39	$15,657.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,191.19 / $3,168.00 / $3,699.52	Facility		$2,191.19	$3,168.00	$3,699.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $2,992.00 / $3,520.00	Professional		$56.50	$2,992.00	$3,520.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $5,632.00 / $74,087.75	Facility		$3,520.00	$5,632.00	$74,087.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,872.00 / $4,928.00 / $65,289.84	Professional		$3,872.00	$4,928.00	$65,289.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $2,686.11 / $4,224.00	Facility		$2,288.00	$2,686.11	$4,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,718.96 / $5,056.14 / $16,966.40	Professional		$1,718.96	$5,056.14	$16,966.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,936.00	Professional		$100.00	$100.00	$1,936.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $2,112.00 / $3,872.00	Professional		$1,478.40	$2,112.00	$3,872.00