Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,440.69 / $4,130.81	Facility		$2,429.89	$2,440.69	$4,130.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,953.25	Professional		$2,429.89	$2,429.89	$2,953.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,750.82 / $2,865.44 / $4,859.78	Facility		$2,750.82	$2,865.44	$4,859.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,347.58 / $2,429.89 / $2,429.89	Professional		$2,347.58	$2,429.89	$2,429.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,915.87 / $3,887.82	Facility		$2,429.89	$2,915.87	$3,887.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,672.88 / $3,742.03	Professional		$2,429.89	$2,672.88	$3,742.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,503.21 / $2,503.21	Facility		$2,429.89	$2,503.21	$2,503.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $3,325.46	Professional		$2,429.89	$2,429.89	$3,325.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,440.69 / $2,441.48 / $3,173.94	Professional		$2,440.69	$2,441.48	$3,173.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,575.67 / $2,704.98	Professional		$2,429.89	$2,575.67	$2,704.98