Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,031.21 / $3,152.45 / $3,152.45	Facility		$3,031.21	$3,152.45	$3,152.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,759.41 / $3,152.45 / $3,467.54	Professional		$2,759.41	$3,152.45	$3,467.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,964.90 / $6,369.31 / $6,694.14	Facility		$3,964.90	$6,369.31	$6,694.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,979.06 / $3,438.30 / $3,481.28	Professional		$2,979.06	$3,438.30	$3,481.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,776.97 / $9,002.85 / $10,408.79	Facility		$4,776.97	$9,002.85	$10,408.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,050.84 / $7,961.64 / $10,509.36	Professional		$6,050.84	$7,961.64	$10,509.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $7,464.04	Facility		$3,799.01	$3,799.01	$7,464.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,799.01 / $28,345.26	Professional		$3,229.16	$3,799.01	$28,345.26
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 $2,118.39 / $3,177.58 / $4,401.02	Professional		$2,118.39	$3,177.58	$4,401.02