Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,183.28 / $8,242.03 / $8,571.70	Facility		$6,183.28	$8,242.03	$8,571.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,358.71 / $8,634.62 / $9,670.79	Professional		$7,358.71	$8,634.62	$9,670.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,780.79 / $17,318.54 / $18,201.79	Facility		$10,780.79	$17,318.54	$18,201.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,100.23 / $10,216.64 / $10,344.35	Professional		$8,100.23	$10,216.64	$10,344.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,988.91 / $24,419.14 / $29,510.66	Facility		$12,988.91	$24,419.14	$29,510.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16,452.61 / $21,648.18 / $28,575.59	Professional		$16,452.61	$21,648.18	$28,575.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,736.82 / $11,736.82 / $21,421.45	Facility		$11,736.82	$11,736.82	$21,421.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,567.87 / $11,736.82 / $89,783.83	Professional		$8,567.87	$11,736.82	$89,783.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,961.11 / $10,928.19 / $13,660.23	Professional		$8,961.11	$10,928.19	$13,660.23
United Facility/Professional Professional Modifier Low / Median / High Price $5,760.02 / $8,640.03 / $13,010.60	Professional		$5,760.02	$8,640.03	$13,010.60