Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $20,417.38	Facility		$3,548.13	$3,548.13	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,715.35	Professional		$3,548.13	$3,548.13	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,365.16 / $4,466.84	Facility		$4,168.69	$4,365.16	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $446.68	Professional		$354.81	$380.19	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,467.37	Facility		$2,398.83	$2,398.83	$3,467.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,467.37	Professional		$2,041.74	$2,398.83	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,079.46 / $7,079.46	Facility		$3,890.45	$7,079.46	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $19,952.62 / $19,952.62	Professional		$3,890.45	$19,952.62	$19,952.62
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 $3,801.89 / $3,801.89 / $4,073.80	Professional		$3,801.89	$3,801.89	$4,073.80