Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $4,586.68	Facility		$2,698.05	$2,698.05	$4,586.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,705.23	Professional		$2,698.05	$2,698.05	$3,705.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,054.40 / $3,181.66 / $5,396.10	Facility		$3,054.40	$3,181.66	$5,396.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,580.15 / $2,698.05 / $2,698.05	Professional		$2,580.15	$2,698.05	$2,698.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $3,237.66 / $4,316.88	Facility		$2,698.05	$3,237.66	$4,316.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,967.86 / $4,155.00	Professional		$2,698.05	$2,967.86	$4,155.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,658.13 / $2,658.13 / $2,698.05	Facility		$2,658.13	$2,658.13	$2,698.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,676.10	Professional		$2,698.05	$2,698.05	$3,676.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,658.13 / $2,698.05 / $3,455.57	Professional		$2,658.13	$2,698.05	$3,455.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,778.99 / $3,003.50	Professional		$2,698.05	$2,778.99	$3,003.50