Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,543.89 / $2,608.16 / $4,433.87	Facility		$2,543.89	$2,608.16	$4,433.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,078.11	Professional		$2,608.16	$2,608.16	$3,078.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,952.64 / $3,075.66 / $5,216.32	Facility		$2,952.64	$3,075.66	$5,216.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,347.34 / $2,608.16 / $2,608.16	Professional		$2,347.34	$2,608.16	$2,608.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $3,129.79 / $4,173.06	Facility		$2,608.16	$3,129.79	$4,173.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,868.98 / $4,016.57	Professional		$2,608.16	$2,868.98	$4,016.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $3,010.31 / $3,010.31	Facility		$2,608.16	$3,010.31	$3,010.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,543.89 / $2,608.16 / $3,541.54	Professional		$2,543.89	$2,608.16	$3,541.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,673.43 / $3,475.46	Professional		$2,608.16	$2,673.43	$3,475.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,764.65 / $2,903.43	Professional		$2,608.16	$2,764.65	$2,903.43