Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.45 / $2,675.87 / $3,375.24	Facility		$1,103.45	$2,675.87	$3,375.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.92 / $2,967.68 / $3,375.24	Professional		$968.92	$2,967.68	$3,375.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $540.00 / $799.82	Professional		$459.00	$540.00	$799.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,007.52 / $6,970.20 / $8,338.42	Facility		$5,007.52	$6,970.20	$8,338.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,163.10 / $6,970.20 / $10,633.77	Professional		$5,163.10	$6,970.20	$10,633.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,181.37 / $5,181.37 / $5,181.37	Facility		$5,181.37	$5,181.37	$5,181.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.00 / $4,502.89 / $20,185.68	Professional		$1,073.00	$4,502.89	$20,185.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,162.15 / $1,452.68 / $2,132.86	Professional		$1,162.15	$1,452.68	$2,132.86
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,853.96 / $3,496.70 / $5,979.42	Professional		$1,853.96	$3,496.70	$5,979.42