Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,847.89 / $4,847.89 / $7,166.45	Facility		$4,847.89	$4,847.89	$7,166.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,374.84 / $6,734.18 / $7,166.45	Professional		$5,374.84	$6,734.18	$7,166.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,239.54 / $5,652.72 / $6,129.80	Professional		$4,239.54	$5,652.72	$6,129.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $996.52 / $1,605.50 / $13,452.97	Facility		$996.52	$1,605.50	$13,452.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,107.24 / $1,826.95 / $21,674.22	Professional		$1,107.24	$1,826.95	$21,674.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,704.40 / $3,704.40 / $7,433.65	Facility		$3,704.40	$3,704.40	$7,433.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $3,704.40 / $5,351.58	Professional		$782.55	$3,704.40	$5,351.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $516.79 / $907.93 / $9,079.36	Professional		$516.79	$907.93	$9,079.36
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.65 / $3,404.92 / $5,210.33	Professional		$2,170.65	$3,404.92	$5,210.33