Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,900.19 / $2,900.19 / $6,162.91	Facility		$2,900.19	$2,900.19	$6,162.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,900.19 / $2,900.19 / $3,008.95	Professional		$2,900.19	$2,900.19	$3,008.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,762.29 / $2,877.39 / $5,365.75	Facility		$2,762.29	$2,877.39	$5,365.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,845.86 / $2,171.61 / $2,301.91	Professional		$1,845.86	$2,171.61	$2,301.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $964.22 / $1,157.06 / $1,928.44	Facility		$964.22	$1,157.06	$1,928.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $819.59 / $964.22 / $1,484.90	Professional		$819.59	$964.22	$1,484.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Facility		$3,081.45	$3,081.45	$3,081.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,301.91 / $3,081.45 / $4,604.05	Professional		$2,301.91	$3,081.45	$4,604.05
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 $3,021.04 / $3,021.04 / $3,021.04	Professional		$3,021.04	$3,021.04	$3,021.04