Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,924.00 / $2,924.00 / $6,213.50	Facility		$2,924.00	$2,924.00	$6,213.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,924.00 / $2,924.00 / $3,033.65	Professional		$2,924.00	$2,924.00	$3,033.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $3,341.19 / $3,341.19	Facility		$0.03	$3,341.19	$3,341.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,408.33 / $2,833.33 / $2,833.33	Professional		$2,408.33	$2,833.33	$2,833.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,044.47 / $41,999.58 / $62,999.37	Facility		$6,044.47	$41,999.58	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,106.75 / $4,477.38 / $6,648.91	Professional		$3,106.75	$4,477.38	$6,648.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,106.75 / $3,106.75 / $3,106.75	Facility		$3,106.75	$3,106.75	$3,106.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,641.85 / $4,641.85 / $4,641.85	Professional		$4,641.85	$4,641.85	$4,641.85
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 $3,045.83 / $3,045.83 / $3,045.83	Professional		$3,045.83	$3,045.83	$3,045.83