Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,570.88	Facility		$4,365.16	$4,365.16	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,897.79 / $8,128.31	Professional		$3,981.07	$4,897.79	$8,128.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $9,549.93 / $10,000.00	Facility		$8,511.38	$9,549.93	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $5,495.41	Professional		$4,365.16	$5,495.41	$5,495.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $12,589.25 / $16,218.10	Facility		$6,918.31	$12,589.25	$16,218.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,481.54 / $14,791.08	Professional		$9,332.54	$11,481.54	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $16,218.10 / $16,218.10	Facility		$6,606.93	$16,218.10	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $47,863.01	Professional		$4,786.30	$7,762.47	$47,863.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,943.28	Professional		$4,897.79	$6,165.95	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,025.60 / $6,918.31	Facility		$3,981.07	$6,025.60	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $6,918.31	Professional		$3,090.30	$4,570.88	$6,918.31