Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,204.96 / $3,021.03 / $3,141.87	Facility		$2,204.96	$3,021.03	$3,141.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,697.25 / $3,195.56 / $3,579.02	Professional		$2,697.25	$3,195.56	$3,579.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,951.58 / $6,347.92 / $6,671.66	Facility		$3,951.58	$6,347.92	$6,671.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,969.05 / $3,643.25 / $3,688.79	Professional		$2,969.05	$3,643.25	$3,688.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,760.93 / $8,795.67 / $10,743.44	Facility		$4,760.93	$8,795.67	$10,743.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,030.52 / $7,934.90 / $10,474.07	Professional		$6,030.52	$7,934.90	$10,474.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $7,964.67	Facility		$3,790.37	$3,790.37	$7,964.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $3,790.37 / $33,382.36	Professional		$2,766.97	$3,790.37	$33,382.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,264.82 / $3,981.49 / $4,976.86	Professional		$3,264.82	$3,981.49	$4,976.86
United Facility/Professional Professional Modifier Low / Median / High Price $2,111.27 / $3,166.90 / $4,630.97	Professional		$2,111.27	$3,166.90	$4,630.97