Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $20,417.38	Facility		$19,952.62	$19,952.62	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $20,892.96 / $33,884.42	Professional		$18,620.87	$20,892.96	$33,884.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35,481.34 / $39,810.72 / $41,686.94	Facility		$35,481.34	$39,810.72	$41,686.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $27,542.29	Professional		$2,454.71	$2,454.71	$27,542.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $52,480.75 / $67,608.30	Facility		$28,840.32	$52,480.75	$67,608.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38,904.51 / $47,863.01 / $61,659.50	Professional		$38,904.51	$47,863.01	$61,659.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63,095.73 / $63,095.73 / $63,095.73	Facility		$63,095.73	$63,095.73	$63,095.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $186,208.71 / $186,208.71	Professional		$30,902.95	$186,208.71	$186,208.71
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 Facility Modifier Low / Median / High Price $19,952.62 / $23,442.29 / $25,118.86	Facility		$19,952.62	$23,442.29	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $20,417.38 / $28,840.32	Professional		$13,489.63	$20,417.38	$28,840.32