Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,125.55 / $4,128.02 / $7,017.63	Facility		$4,125.55	$4,128.02	$7,017.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,991.92	Professional		$4,128.02	$4,128.02	$4,991.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,673.22 / $4,867.95 / $8,256.04	Facility		$4,673.22	$4,867.95	$8,256.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,728.55 / $4,128.02 / $4,128.02	Professional		$3,728.55	$4,128.02	$4,128.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $4,953.62 / $6,604.83	Facility		$4,128.02	$4,953.62	$6,604.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,540.82 / $6,357.15	Professional		$4,128.02	$4,540.82	$6,357.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,988.33 / $3,988.33 / $4,128.02	Facility		$3,988.33	$3,988.33	$4,128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $4,128.02 / $5,621.06	Professional		$99.09	$4,128.02	$5,621.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,988.33 / $4,128.02 / $5,184.83	Professional		$3,988.33	$4,128.02	$5,184.83
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,251.85 / $4,595.35	Professional		$4,128.02	$4,251.85	$4,595.35