Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,130.48 / $2,249.10 / $2,339.06	Facility		$2,130.48	$2,249.10	$2,339.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,008.05 / $2,339.06 / $2,716.20	Professional		$2,008.05	$2,339.06	$2,716.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,941.87 / $4,725.89 / $4,966.92	Facility		$2,941.87	$4,725.89	$4,966.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,350.56 / $2,739.20 / $3,633.14	Professional		$2,350.56	$2,739.20	$3,633.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,544.43 / $6,334.38 / $8,153.46	Facility		$3,544.43	$6,334.38	$8,153.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,489.60 / $5,907.38 / $7,797.74	Professional		$4,489.60	$5,907.38	$7,797.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $5,538.17	Facility		$3,001.57	$3,001.57	$5,538.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $3,001.57 / $21,719.88	Professional		$2,191.15	$3,001.57	$21,719.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $4,138.17	Professional		$100.00	$100.00	$4,138.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,571.80 / $2,357.69 / $3,329.96	Professional		$1,571.80	$2,357.69	$3,329.96