Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,976.36 / $4,000.14 / $4,135.41	Facility		$3,976.36	$4,000.14	$4,135.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,619.82 / $4,135.41 / $4,590.68	Professional		$3,619.82	$4,135.41	$4,590.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,201.18 / $8,355.32 / $8,781.44	Facility		$5,201.18	$8,355.32	$8,781.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,567.02 / $4,567.02 / $5,928.31	Professional		$4,567.02	$4,567.02	$5,928.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,266.49 / $11,781.00 / $14,163.15	Facility		$6,266.49	$11,781.00	$14,163.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,937.55 / $10,444.15 / $13,786.28	Professional		$7,937.55	$10,444.15	$13,786.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $9,791.39	Facility		$4,751.45	$4,751.45	$9,791.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,751.45 / $40,627.25	Professional		$4,038.73	$4,751.45	$40,627.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,148.83 / $6,279.07 / $7,848.83	Professional		$5,148.83	$6,279.07	$7,848.83
United Facility/Professional Professional Modifier Low / Median / High Price $2,778.92 / $4,168.38 / $5,845.78	Professional		$2,778.92	$4,168.38	$5,845.78