Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,743.10 / $2,743.10 / $15,251.60	Facility		$2,743.10	$2,743.10	$15,251.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $2,743.10 / $2,845.97	Professional		$2,743.10	$2,743.10	$2,845.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,234.79 / $3,369.58 / $5,115.66	Facility		$3,234.79	$3,369.58	$5,115.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $2,743.10	Professional		$165.00	$165.00	$2,743.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,953.24 / $3,953.24 / $3,953.24	Facility		$3,953.24	$3,953.24	$3,953.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,400.17 / $3,529.68 / $6,353.42	Professional		$2,400.17	$3,529.68	$6,353.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Facility		$2,914.55	$2,914.55	$2,914.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $4,354.68	Professional		$2,914.55	$2,914.55	$4,354.68
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 $2,857.40 / $2,857.40 / $3,060.28	Professional		$2,857.40	$2,857.40	$3,060.28