Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,772.85 / $3,817.28 / $6,489.38	Facility		$3,772.85	$3,817.28	$6,489.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,321.43 / $4,501.50 / $7,634.56	Facility		$4,321.43	$4,501.50	$7,634.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,244.68 / $3,817.28 / $3,817.28	Professional		$3,244.68	$3,817.28	$3,817.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $4,148.08 / $6,107.65	Facility		$3,817.28	$4,148.08	$6,107.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,199.01 / $5,878.61	Professional		$3,817.28	$4,199.01	$5,878.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.60 / $3,817.28 / $3,817.28	Facility		$3,790.60	$3,817.28	$3,817.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $5,195.97 / $5,195.97	Professional		$3,817.28	$5,195.97	$5,195.97
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 $3,817.28 / $4,046.32 / $4,249.43	Professional		$3,817.28	$4,046.32	$4,249.43