Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,019.95	Facility		$2,884.03	$2,884.03	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $5,248.07	Professional		$2,570.40	$3,090.30	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,165.95 / $6,606.93	Facility		$5,623.41	$6,165.95	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $3,630.78	Professional		$2,884.03	$3,388.44	$3,630.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,317.64 / $10,715.19	Facility		$4,570.88	$8,317.64	$10,715.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,585.78 / $9,772.37	Professional		$6,165.95	$7,585.78	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,232.93 / $10,232.93	Facility		$4,073.80	$10,232.93	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,128.61 / $30,902.95	Professional		$2,951.21	$5,128.61	$30,902.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $5,128.61	Professional		$3,162.28	$3,981.07	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $4,265.80	Professional		$2,041.74	$3,019.95	$4,265.80