Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.23 / $1,992.84 / $2,066.65	Facility		$1,252.23	$1,992.84	$2,066.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.07 / $1,992.84 / $2,071.27	Professional		$1,712.07	$1,992.84	$2,071.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,413.59 / $3,877.26 / $4,075.00	Facility		$2,413.59	$3,877.26	$4,075.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,813.46 / $2,017.33 / $2,048.37	Professional		$1,813.46	$2,017.33	$2,048.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,907.95 / $5,398.86 / $6,210.47	Facility		$2,907.95	$5,398.86	$6,210.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,683.40 / $4,820.41 / $6,397.48	Professional		$3,683.40	$4,820.41	$6,397.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $4,543.67	Facility		$2,326.75	$2,326.75	$4,543.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $2,326.75 / $18,495.00	Professional		$1,698.53	$2,326.75	$18,495.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.55 / $1,748.26 / $2,476.69	Professional		$1,289.55	$1,748.26	$2,476.69