Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,018.24 / $4,018.24 / $5,940.00	Facility		$4,018.24	$4,018.24	$5,940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,455.00 / $5,581.73 / $5,940.00	Professional		$4,455.00	$5,581.73	$5,940.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,514.02 / $4,685.35 / $5,080.70	Professional		$3,514.02	$4,685.35	$5,080.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $688.31 / $1,330.74 / $12,389.63	Facility		$688.31	$1,330.74	$12,389.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $917.75 / $1,514.29 / $17,964.96	Professional		$917.75	$1,514.29	$17,964.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $6,161.32	Facility		$3,087.00	$3,087.00	$6,161.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.63 / $3,087.00 / $3,790.53	Professional		$648.63	$3,087.00	$3,790.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $447.49 / $752.55 / $7,525.55	Professional		$447.49	$752.55	$7,525.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,729.68 / $2,810.73 / $4,226.29	Professional		$1,729.68	$2,810.73	$4,226.29