Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $8,511.38	Facility		$2,884.03	$4,786.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $3,019.95	Professional		$2,691.53	$2,818.38	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $3,715.35	Facility		$2,951.21	$3,548.13	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,548.13 / $3,548.13	Professional		$1,148.15	$3,548.13	$3,548.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $46,773.51 / $79,432.82	Facility		$3,548.13	$46,773.51	$79,432.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $64,565.42	Professional		$3,801.89	$4,786.30	$64,565.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,623.41 / $5,623.41	Facility		$2,290.87	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $16,982.44 / $16,982.44	Professional		$3,981.07	$16,982.44	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,949.84	Professional		$100.00	$100.00	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,548.13	Professional		$1,479.11	$2,089.30	$3,548.13