Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $22,471.10	Facility		$4,041.56	$4,041.56	$22,471.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $4,193.12	Professional		$4,041.56	$4,041.56	$4,193.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,765.99 / $4,964.58 / $4,967.75	Facility		$4,765.99	$4,964.58	$4,967.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $1,934.59 / $2,275.98	Professional		$648.00	$1,934.59	$2,275.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,074.48 / $4,481.93 / $6,519.17	Facility		$4,074.48	$4,481.93	$6,519.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,463.31 / $4,481.93 / $6,274.70	Professional		$3,463.31	$4,481.93	$6,274.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $6,415.98	Professional		$4,294.16	$4,294.16	$6,415.98
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 $4,209.96 / $4,209.96 / $4,508.87	Professional		$4,209.96	$4,209.96	$4,508.87