Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.91 / $2,857.82 / $3,539.16	Facility		$2,747.91	$2,857.82	$3,539.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,501.51 / $2,804.14 / $3,539.16	Professional		$2,501.51	$2,804.14	$3,539.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,877.21 / $3,082.05 / $3,910.50	Professional		$2,877.21	$3,082.05	$3,910.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,330.52 / $8,040.03 / $9,248.70	Facility		$4,330.52	$8,040.03	$9,248.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,485.33 / $7,178.60 / $9,527.15	Professional		$5,485.33	$7,178.60	$9,527.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,536.46 / $4,536.46 / $6,766.44	Facility		$4,536.46	$4,536.46	$6,766.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $4,536.46 / $27,549.34	Professional		$3,855.99	$4,536.46	$27,549.34
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 $1,920.40 / $2,865.06 / $3,945.02	Professional		$1,920.40	$2,865.06	$3,945.02