Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.19 / $1,878.98 / $1,954.13	Facility		$1,289.19	$1,878.98	$1,954.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,677.60 / $1,906.24 / $2,093.13	Professional		$1,677.60	$1,906.24	$2,093.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,457.75 / $3,948.20 / $4,149.56	Facility		$2,457.75	$3,948.20	$4,149.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,846.66 / $2,106.94 / $2,143.16	Professional		$1,846.66	$2,106.94	$2,143.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,961.15 / $5,497.73 / $6,324.12	Facility		$2,961.15	$5,497.73	$6,324.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,750.79 / $4,908.68 / $6,514.53	Professional		$3,750.79	$4,908.68	$6,514.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $4,626.79	Facility		$2,540.30	$2,540.30	$4,626.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,540.30 / $18,833.57	Professional		$1,854.42	$2,540.30	$18,833.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $3,457.18	Professional		$100.00	$100.00	$3,457.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.14 / $1,969.71 / $2,678.16	Professional		$1,313.14	$1,969.71	$2,678.16