Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,221.41 / $2,927.98 / $3,045.10	Facility		$2,221.41	$2,927.98	$3,045.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,614.17 / $3,223.07 / $3,896.52	Professional		$2,614.17	$3,223.07	$3,896.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,829.88 / $6,152.41 / $6,466.18	Facility		$3,829.88	$6,152.41	$6,466.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,929.99 / $3,670.43 / $3,670.43	Professional		$2,929.99	$3,670.43	$3,670.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,614.31 / $8,674.90 / $11,689.58	Facility		$4,614.31	$8,674.90	$11,689.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,152.41 / $8,305.75 / $10,234.45	Professional		$6,152.41	$8,305.75	$10,234.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $8,453.62	Facility		$4,728.96	$4,728.96	$8,453.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $4,728.96 / $35,431.68	Professional		$3,452.14	$4,728.96	$35,431.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,215.26 / $3,921.05 / $4,901.31	Professional		$3,215.26	$3,921.05	$4,901.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,046.25 / $3,289.34 / $4,698.14	Professional		$2,046.25	$3,289.34	$4,698.14