Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,776.20 / $21,261.40	Facility		$1,000.00	$3,776.20	$21,261.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,776.20 / $4,015.20	Professional		$3,000.00	$3,776.20	$4,015.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,883.31 / $4,302.00 / $5,023.78	Facility		$1,883.31	$4,302.00	$5,023.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $800.00 / $1,912.00	Professional		$100.00	$800.00	$1,912.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $6,692.00 / $7,887.00	Facility		$4,780.00	$6,692.00	$7,887.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,258.00 / $6,214.00 / $9,560.00	Professional		$5,258.00	$6,214.00	$9,560.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $3,719.32 / $5,736.00	Facility		$3,107.00	$3,719.32	$5,736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,186.88 / $5,376.54 / $23,039.60	Professional		$2,186.88	$5,376.54	$23,039.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,629.00 / $2,629.00 / $2,629.00	Professional		$2,629.00	$2,629.00	$2,629.00
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