Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,625.80 / $2,730.83 / $2,730.83	Facility		$2,625.80	$2,730.83	$2,730.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,390.35 / $2,742.35 / $3,071.43	Professional		$2,390.35	$2,742.35	$3,071.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.61 / $5,517.45 / $5,798.84	Facility		$3,434.61	$5,517.45	$5,798.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.53 / $3,634.24 / $3,634.24	Professional		$699.53	$3,634.24	$3,634.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,138.09 / $7,779.60 / $9,219.78	Facility		$4,138.09	$7,779.60	$9,219.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,241.58 / $6,896.81 / $9,103.79	Professional		$5,241.58	$6,896.81	$9,103.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $6,587.35	Facility		$3,728.42	$3,728.42	$6,587.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $3,728.42 / $27,609.59	Professional		$2,721.75	$3,728.42	$27,609.59
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 Professional Modifier Low / Median / High Price $1,835.06 / $2,874.78 / $3,948.74	Professional		$1,835.06	$2,874.78	$3,948.74