Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,904.07 / $4,904.07 / $4,904.07	Facility		$4,904.07	$4,904.07	$4,904.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,904.07 / $4,904.07 / $5,087.97	Professional		$4,904.07	$4,904.07	$5,087.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,187.03 / $6,024.06 / $6,027.92	Facility		$5,187.03	$6,024.06	$6,027.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,384.62 / $5,502.64 / $5,502.64	Professional		$3,384.62	$5,502.64	$5,502.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,900.36 / $1,962.26 / $3,040.58	Facility		$1,900.36	$1,962.26	$3,040.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,615.31 / $2,090.40 / $2,926.55	Professional		$1,615.31	$2,090.40	$2,926.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Facility		$5,210.58	$5,210.58	$5,210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,091.52 / $5,210.58 / $7,414.49	Professional		$2,091.52	$5,210.58	$7,414.49
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 $5,108.41 / $5,108.41 / $5,471.11	Professional		$5,108.41	$5,108.41	$5,471.11