Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,519.67 / $3,519.67 / $19,569.40	Facility		$3,519.67	$3,519.67	$19,569.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,519.67 / $3,519.67 / $3,651.66	Professional		$3,519.67	$3,519.67	$3,651.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,709.50 / $4,323.50 / $4,326.27	Facility		$1,709.50	$4,323.50	$4,326.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.21 / $379.53 / $446.51	Professional		$357.21	$379.53	$446.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,410.69 / $2,651.77 / $3,857.12	Facility		$2,410.69	$2,651.77	$3,857.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,369.46 / $2,772.31 / $3,712.48	Professional		$2,369.46	$2,772.31	$3,712.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Facility		$3,739.65	$3,739.65	$3,739.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $3,739.65 / $5,424.74	Professional		$379.53	$3,739.65	$5,424.74
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 $3,666.33 / $3,666.33 / $3,666.33	Professional		$3,666.33	$3,666.33	$3,666.33