Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,631.57 / $15,631.57 / $15,631.57	Facility		$15,631.57	$15,631.57	$15,631.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,631.57 / $15,631.57 / $16,217.75	Professional		$15,631.57	$15,631.57	$16,217.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,787.28 / $19,201.50 / $19,213.80	Facility		$10,787.28	$19,201.50	$19,213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,401.17 / $7,697.40 / $9,055.76	Professional		$5,401.17	$7,697.40	$9,055.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,396.45 / $4,396.45 / $4,396.45	Facility		$4,396.45	$4,396.45	$4,396.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,069.66 / $4,110.68 / $31,396.64	Professional		$3,069.66	$4,110.68	$31,396.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,608.54 / $16,608.54 / $16,608.54	Facility		$16,608.54	$16,608.54	$16,608.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,456.20 / $16,608.54 / $24,815.11	Professional		$3,456.20	$16,608.54	$24,815.11
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 $16,282.88 / $16,282.88 / $16,282.88	Professional		$16,282.88	$16,282.88	$16,282.88