Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,558.15 / $4,251.01 / $4,421.05	Facility		$2,558.15	$4,251.01	$4,421.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,450.94 / $3,795.43 / $4,421.05	Professional		$3,450.94	$3,795.43	$4,421.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,560.43 / $8,932.42 / $9,387.96	Facility		$5,560.43	$8,932.42	$9,387.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,638.11 / $4,226.82 / $4,279.66	Professional		$3,638.11	$4,226.82	$4,279.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,699.32 / $10,204.56 / $12,952.01	Facility		$6,699.32	$10,204.56	$12,952.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,335.78 / $10,718.90 / $14,738.49	Professional		$8,335.78	$10,718.90	$14,738.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,697.47 / $4,697.47 / $10,467.68	Facility		$4,697.47	$4,697.47	$10,467.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,429.16 / $4,697.47 / $36,807.06	Professional		$3,429.16	$4,697.47	$36,807.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,668.10 / $5,692.81 / $7,116.01	Professional		$4,668.10	$5,692.81	$7,116.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,970.86 / $4,456.30 / $5,888.73	Professional		$2,970.86	$4,456.30	$5,888.73