Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Facility		$1,819.70	$1,819.70	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,162.28	Professional		$1,621.81	$1,905.46	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,890.45 / $4,073.80	Facility		$3,548.13	$3,890.45	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,388.44 / $4,786.30	Professional		$3,019.95	$3,388.44	$4,786.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,128.61 / $6,760.83	Facility		$2,884.03	$5,128.61	$6,760.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $6,165.95	Professional		$3,801.89	$4,786.30	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,025.60 / $6,025.60	Facility		$2,398.83	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,548.13 / $18,197.01	Professional		$1,737.80	$3,548.13	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $3,467.37	Professional		$100.00	$100.00	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,238.72 / $2,630.27	Facility		$218.78	$2,238.72	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,818.38	Professional		$1,258.93	$1,905.46	$2,818.38