Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,754.15 / $3,941.86 / $32,640.00	Facility		$3,754.15	$3,941.86	$32,640.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,754.15 / $3,917.56 / $15,360.00	Professional		$3,754.15	$3,917.56	$15,360.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,504.00 / $21,200.00 / $21,200.00	Facility		$19,504.00	$21,200.00	$21,200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16,000.00 / $16,000.00 / $16,960.00	Professional		$16,000.00	$16,000.00	$16,960.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,599.88 / $3,739.45 / $6,479.78	Facility		$3,599.88	$3,739.45	$6,479.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,538.31 / $3,599.88 / $5,219.83	Professional		$3,538.31	$3,599.88	$5,219.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,731.08 / $16,960.00 / $16,960.00	Facility		$4,731.08	$16,960.00	$16,960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $21,504.00	Professional		$16,320.00	$16,960.00	$21,504.00
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 $7,680.00 / $19,200.00 / $19,200.00	Professional		$7,680.00	$19,200.00	$19,200.00