Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,121.26 / $8,121.26 / $17,257.70	Facility		$8,121.26	$8,121.26	$17,257.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,121.26 / $8,121.26 / $8,628.84	Professional		$8,121.26	$8,121.26	$8,628.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.85 / $508.18 / $9,982.40	Facility		$487.85	$508.18	$9,982.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.93 / $6,540.23 / $6,540.23	Professional		$430.93	$6,540.23	$6,540.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.89 / $355.45 / $419.46	Facility		$253.89	$355.45	$419.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.55 / $279.27 / $390.99	Professional		$249.55	$279.27	$390.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,628.84 / $8,628.84 / $8,628.84	Facility		$8,628.84	$8,628.84	$8,628.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.93 / $8,628.84 / $8,628.84	Professional		$430.93	$8,628.84	$8,628.84
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 $8,459.66 / $8,713.45 / $9,417.37	Professional		$8,459.66	$8,713.45	$9,417.37