Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,763.56 / $3,914.10 / $3,914.10	Facility		$3,763.56	$3,914.10	$3,914.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,426.09 / $3,840.60 / $4,192.46	Professional		$3,426.09	$3,840.60	$4,192.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,678.87 / $4,221.18 / $4,300.34	Professional		$3,678.87	$4,221.18	$4,300.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,931.12 / $11,011.76 / $12,667.05	Facility		$5,931.12	$11,011.76	$12,667.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,512.75 / $9,831.93 / $13,048.46	Professional		$7,512.75	$9,831.93	$13,048.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $9,267.37	Facility		$4,391.66	$4,391.66	$9,267.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $4,391.66 / $34,799.39	Professional		$3,732.91	$4,391.66	$34,799.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,630.20 / $3,945.29 / $5,403.12	Professional		$2,630.20	$3,945.29	$5,403.12