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 / $2,951.21	Facility		$2,884.03	$2,884.03	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $4,466.84	Professional		$2,511.89	$2,691.53	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $6,165.95 / $6,456.54	Facility		$5,495.41	$6,165.95	$6,456.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,548.13	Professional		$3,235.94	$3,235.94	$3,548.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,128.31 / $10,471.29	Facility		$4,466.84	$8,128.31	$10,471.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,585.78 / $9,549.93	Professional		$6,025.60	$7,585.78	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,511.38 / $8,511.38	Facility		$3,311.31	$8,511.38	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $25,703.96	Professional		$2,398.83	$5,754.40	$25,703.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $6,456.54	Professional		$3,890.45	$5,011.87	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,019.95 / $3,548.13	Facility		$2,951.21	$3,019.95	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $4,073.80	Professional		$1,995.26	$3,019.95	$4,073.80