Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.16 / $2,551.38 / $2,645.88	Facility		$1,812.16	$2,551.38	$2,645.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,191.92 / $2,551.38 / $2,651.81	Professional		$2,191.92	$2,551.38	$2,651.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.07 / $4,963.96 / $5,217.12	Facility		$3,090.07	$4,963.96	$5,217.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,321.75 / $2,583.40 / $2,828.47	Professional		$2,321.75	$2,583.40	$2,828.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,722.97 / $6,912.07 / $7,951.07	Facility		$3,722.97	$6,912.07	$7,951.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,715.76 / $6,171.49 / $8,190.53	Professional		$4,715.76	$6,171.49	$8,190.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $5,817.14	Facility		$2,756.64	$2,756.64	$5,817.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,756.64 / $23,684.18	Professional		$2,012.35	$2,756.64	$23,684.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,447.78 / $2,985.10 / $3,731.37	Professional		$2,447.78	$2,985.10	$3,731.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,650.98 / $2,356.60 / $3,668.19	Professional		$1,650.98	$2,356.60	$3,668.19