Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $17,080.30	Facility		$3,072.00	$3,072.00	$17,080.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $3,187.19	Professional		$3,072.00	$3,072.00	$3,187.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,471.70 / $3,773.59 / $4,666.45	Facility		$3,471.70	$3,773.59	$4,666.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,300.00 / $5,955.84	Professional		$3,072.00	$3,300.00	$5,955.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53,388.72 / $53,388.72 / $53,388.72	Facility		$53,388.72	$53,388.72	$53,388.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,366.00 / $3,366.00	Facility		$3,264.00	$3,366.00	$3,366.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,366.00	Professional		$3,264.00	$3,264.00	$3,366.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,427.20	Professional		$3,200.00	$3,200.00	$3,427.20