Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.72 / $1,782.68 / $2,635.27	Facility		$1,570.72	$1,782.68	$2,635.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,570.72 / $2,161.94 / $2,635.27	Professional		$1,570.72	$2,161.94	$2,635.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,652.70 / $1,793.31 / $2,339.10	Professional		$1,652.70	$1,793.31	$2,339.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.37 / $590.38 / $3,763.53	Facility		$305.37	$590.38	$3,763.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $386.80 / $671.81 / $5,457.12	Professional		$386.80	$671.81	$5,457.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,848.25 / $3,848.25 / $3,848.25	Facility		$3,848.25	$3,848.25	$3,848.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.14 / $2,837.98 / $16,093.06	Professional		$318.14	$2,837.98	$16,093.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.44 / $292.71 / $2,927.19	Professional		$171.44	$292.71	$2,927.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.08 / $1,497.56 / $2,061.56	Professional		$1,027.08	$1,497.56	$2,061.56