Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,168.69	Facility		$3,981.07	$3,981.07	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $7,079.46	Professional		$3,630.78	$4,168.69	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $8,511.38 / $8,912.51	Facility		$7,585.78	$8,511.38	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $6,025.60	Professional		$4,570.88	$4,570.88	$6,025.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $11,220.18 / $14,791.08	Facility		$6,309.57	$11,220.18	$14,791.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,471.29 / $13,489.63	Professional		$8,317.64	$10,471.29	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $13,489.63 / $13,489.63	Facility		$4,786.30	$13,489.63	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $8,511.38 / $40,738.03	Professional		$4,073.80	$8,511.38	$40,738.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,606.93 / $8,511.38	Professional		$5,128.61	$6,606.93	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,025.60	Facility		$5,011.87	$5,011.87	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,168.69 / $5,888.44	Professional		$2,754.23	$4,168.69	$5,888.44