Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,390.08 / $22,390.10 / $47,578.90	Facility		$22,390.08	$22,390.10	$47,578.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $22,390.08 / $23,789.46	Professional		$22,390.08	$22,390.08	$23,789.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,401.59 / $3,543.33 / $27,521.14	Facility		$3,401.59	$3,543.33	$27,521.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,004.74 / $20,427.00 / $20,427.00	Professional		$3,004.74	$20,427.00	$20,427.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,929.30 / $2,390.58 / $3,086.88	Facility		$1,929.30	$2,390.58	$3,086.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,929.30 / $2,122.23 / $2,971.12	Professional		$1,929.30	$2,122.23	$2,971.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Facility		$23,789.46	$23,789.46	$23,789.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,482.82 / $23,789.46 / $23,789.46	Professional		$3,482.82	$23,789.46	$23,789.46
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 Facility Modifier Low / Median / High Price $24,213.03 / $24,213.03 / $24,213.03	Facility		$24,213.03	$24,213.03	$24,213.03
United Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $24,022.69 / $25,963.40	Professional		$23,323.00	$24,022.69	$25,963.40