Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $10,894.20	Facility		$6,408.38	$6,408.38	$10,894.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,454.57	Professional		$6,408.38	$6,408.38	$6,454.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,254.77 / $7,557.05 / $12,816.76	Facility		$7,254.77	$7,557.05	$12,816.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,447.12 / $6,408.38 / $6,408.38	Professional		$5,447.12	$6,408.38	$6,408.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $6,963.95 / $10,253.41	Facility		$6,408.38	$6,963.95	$10,253.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $7,049.22 / $9,868.91	Professional		$6,408.38	$7,049.22	$9,868.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,624.52	Facility		$6,408.38	$6,408.38	$6,624.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,594.42 / $6,408.38 / $9,897.81	Professional		$5,594.42	$6,408.38	$9,897.81
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 $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38