Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,488.32 / $4,553.62 / $13,173.20	Facility		$2,488.32	$4,553.62	$13,173.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,488.32 / $2,488.32 / $2,581.63	Professional		$2,488.32	$2,488.32	$2,581.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,793.96 / $2,910.38 / $3,470.05	Facility		$2,793.96	$2,910.38	$3,470.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,019.60 / $2,160.00 / $2,376.00	Professional		$2,019.60	$2,160.00	$2,376.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.36 / $2,517.36 / $2,643.84	Facility		$2,517.36	$2,517.36	$2,643.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $3,761.23	Professional		$2,643.84	$2,643.84	$3,761.23
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 $2,592.00 / $2,592.00 / $2,776.03	Professional		$2,592.00	$2,592.00	$2,776.03