Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,059.67 / $3,175.86 / $17,227.09	Facility		$3,059.67	$3,175.86	$17,227.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,059.67 / $3,175.86 / $3,873.00	Professional		$3,059.67	$3,175.86	$3,873.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $573.20 / $573.20 / $573.20	Facility		$573.20	$573.20	$573.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.22 / $573.20 / $573.20	Professional		$487.22	$573.20	$573.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,647.60 / $5,422.20 / $6,390.45	Facility		$4,647.60	$5,422.20	$6,390.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,453.95 / $5,422.20 / $7,746.00	Professional		$4,453.95	$5,422.20	$7,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $3,013.58 / $5,110.42	Facility		$2,517.44	$3,013.58	$5,110.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,768.09 / $4,094.74 / $18,667.86	Professional		$1,768.09	$4,094.74	$18,667.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $3,873.00	Professional		$1,626.66	$2,323.80	$3,873.00