Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $24,547.09	Facility		$4,265.80	$4,265.80	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,365.16 / $7,943.28	Professional		$4,265.80	$4,365.16	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $4,073.80	Facility		$0.02	$0.02	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $3,162.28	Professional		$2,187.76	$3,162.28	$3,162.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $4,466.84	Facility		$2,511.89	$2,511.89	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,309.57 / $6,309.57	Professional		$4,466.84	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07