Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,817.60 / $5,817.60 / $12,362.40	Facility		$5,817.60	$5,817.60	$12,362.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $5,817.60 / $6,181.20	Professional		$5,817.60	$5,817.60	$6,181.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,389.39 / $2,488.94 / $7,150.80	Facility		$2,389.39	$2,488.94	$7,150.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,110.63 / $3,903.91 / $3,903.91	Professional		$2,110.63	$3,903.91	$3,903.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $631.19 / $782.10 / $1,009.90	Facility		$631.19	$782.10	$1,009.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $631.19 / $694.31 / $972.03	Professional		$631.19	$694.31	$972.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Facility		$6,181.20	$6,181.20	$6,181.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.89 / $6,181.20 / $6,181.20	Professional		$1,356.89	$6,181.20	$6,181.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,408.75 / $6,746.05	Professional		$6,060.00	$6,408.75	$6,746.05