Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,590.46 / $4,197.93 / $4,365.85	Facility		$2,590.46	$4,197.93	$4,365.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,533.19 / $3,800.12 / $4,365.85	Professional		$3,533.19	$3,800.12	$4,365.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,491.01 / $8,820.90 / $9,270.77	Facility		$5,491.01	$8,820.90	$9,270.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,824.84 / $4,280.22 / $4,353.79	Professional		$3,824.84	$4,280.22	$4,353.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,615.68 / $10,688.09 / $12,790.31	Facility		$6,615.68	$10,688.09	$12,790.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,379.86 / $10,585.08 / $14,554.49	Professional		$8,379.86	$10,585.08	$14,554.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $4,938.58 / $10,336.99	Facility		$4,938.58	$4,938.58	$10,336.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $4,938.58 / $38,204.53	Professional		$3,605.16	$4,938.58	$38,204.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,609.82 / $5,621.74 / $7,027.17	Professional		$4,609.82	$5,621.74	$7,027.17
United Facility/Professional Professional Modifier Low / Median / High Price $2,933.77 / $4,400.64 / $5,815.20	Professional		$2,933.77	$4,400.64	$5,815.20