Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Facility		$2,784.38	$2,784.38	$2,784.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,812.22	Professional		$2,784.38	$2,784.38	$2,812.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,152.12 / $3,283.46 / $3,283.46	Facility		$3,152.12	$3,283.46	$3,283.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,366.71 / $2,784.38 / $2,784.38	Professional		$2,366.71	$2,784.38	$2,784.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $3,898.13 / $4,455.01	Facility		$2,784.38	$3,898.13	$4,455.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $3,062.82 / $4,037.35	Professional		$2,784.38	$3,062.82	$4,037.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.14 / $215.14 / $2,784.38	Facility		$215.14	$215.14	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.22 / $2,784.38 / $2,784.38	Professional		$184.22	$2,784.38	$2,784.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $115.04 / $2,784.38	Professional		$92.65	$115.04	$2,784.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,505.94 / $2,784.38 / $2,867.91	Professional		$2,505.94	$2,784.38	$2,867.91