Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,453.24 / $6,123.57 / $6,368.51	Facility		$4,453.24	$6,123.57	$6,368.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,467.29 / $6,677.87 / $7,479.21	Professional		$5,467.29	$6,677.87	$7,479.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,009.79 / $12,867.13 / $13,523.35	Facility		$8,009.79	$12,867.13	$13,523.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,018.23 / $7,358.07 / $7,450.05	Professional		$6,018.23	$7,358.07	$7,450.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,650.35 / $18,142.65 / $22,450.98	Facility		$9,650.35	$18,142.65	$22,450.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12,223.77 / $16,136.64 / $21,230.76	Professional		$12,223.77	$16,136.64	$21,230.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $9,077.06 / $15,459.78	Facility		$9,077.06	$9,077.06	$15,459.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $9,077.06 / $64,796.66	Professional		$6,626.25	$9,077.06	$64,796.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,724.41 / $8,200.51 / $10,250.63	Professional		$6,724.41	$8,200.51	$10,250.63
United Facility/Professional Professional Modifier Low / Median / High Price $4,279.51 / $6,472.39 / $9,418.33	Professional		$4,279.51	$6,472.39	$9,418.33