Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,036.26 / $5,036.26 / $10,702.00	Facility		$5,036.26	$5,036.26	$10,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,036.26 / $5,036.26 / $5,225.12	Professional		$5,036.26	$5,036.26	$5,225.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,962.27 / $4,127.35 / $10,473.20	Facility		$3,962.27	$4,127.35	$10,473.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,315.93 / $4,421.25 / $4,421.25	Professional		$3,315.93	$4,421.25	$4,421.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,078.05 / $52,149.48 / $69,999.30	Facility		$7,078.05	$52,149.48	$69,999.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Facility		$5,351.02	$5,351.02	$5,351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $7,995.06 / $7,995.06	Professional		$5,351.02	$7,995.06	$7,995.06
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 $5,246.10 / $5,246.10 / $5,246.10	Professional		$5,246.10	$5,246.10	$5,246.10