Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,678.89 / $4,678.89 / $9,942.67	Facility		$4,678.89	$4,678.89	$9,942.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,678.89 / $4,678.89 / $4,971.34	Professional		$4,678.89	$4,678.89	$4,971.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,604.94 / $6,092.33 / $7,310.79	Facility		$5,604.94	$6,092.33	$7,310.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,649.66 / $5,166.29 / $5,166.29	Professional		$4,649.66	$5,166.29	$5,166.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,749.88 / $4,956.18 / $5,816.92	Facility		$3,749.88	$4,956.18	$5,816.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,999.87 / $4,999.84 / $7,999.74	Professional		$3,999.87	$4,999.84	$7,999.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $5,244.99 / $5,244.99	Facility		$4,971.34	$5,244.99	$5,244.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,152.29 / $4,971.34 / $5,842.78	Professional		$3,152.29	$4,971.34	$5,842.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $5,166.29 / $5,425.63	Professional		$4,873.85	$5,166.29	$5,425.63