Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,344.23	Facility		$2,238.72	$2,238.72	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $4,073.80	Professional		$2,041.74	$2,818.38	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,786.30 / $5,011.87	Facility		$4,365.16	$4,786.30	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $2,951.21	Professional		$2,187.76	$2,818.38	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,309.57 / $8,317.64	Facility		$3,548.13	$6,309.57	$8,317.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,888.44 / $7,585.78	Professional		$4,677.35	$5,888.44	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $8,511.38 / $8,511.38	Facility		$3,801.89	$8,511.38	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,265.80 / $25,703.96	Professional		$2,754.23	$4,265.80	$25,703.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $4,073.80	Professional		$2,454.71	$3,162.28	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,090.30 / $3,630.78	Facility		$2,951.21	$3,090.30	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $3,630.78	Professional		$1,548.82	$2,511.89	$3,630.78