Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $20,656.50	Facility		$3,715.20	$3,715.20	$20,656.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $3,854.52	Professional		$3,715.20	$3,715.20	$3,854.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,914.61 / $4,566.60 / $7,740.00	Facility		$1,914.61	$4,566.60	$7,740.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $5,789.52 / $5,801.13	Professional		$648.00	$5,789.52	$5,801.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,200.97 / $5,721.07 / $8,321.54	Facility		$5,200.97	$5,721.07	$8,321.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,420.82 / $5,721.07 / $8,009.49	Professional		$4,420.82	$5,721.07	$8,009.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $7,064.94	Facility		$3,947.40	$3,947.40	$7,064.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $20,778.04	Professional		$3,947.40	$3,947.40	$20,778.04
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 $3,870.00 / $3,870.00 / $4,144.77	Professional		$3,870.00	$3,870.00	$4,144.77