Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,376.79 / $2,249.69	Facility		$1,323.35	$1,376.79	$2,249.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,665.92	Professional		$1,323.35	$1,323.35	$1,665.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,498.13 / $1,560.55 / $2,646.70	Facility		$1,498.13	$1,560.55	$2,646.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,347.69	Professional		$1,323.35	$1,323.35	$1,347.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,588.02 / $2,117.36	Facility		$1,323.35	$1,588.02	$2,117.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,455.69 / $2,037.96	Professional		$1,323.35	$1,455.69	$2,037.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,444.55 / $1,444.55	Facility		$1,323.35	$1,444.55	$1,444.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,858.66	Professional		$1,323.35	$1,323.35	$1,858.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,376.28 / $1,444.55 / $1,877.92	Professional		$1,376.28	$1,444.55	$1,877.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,402.75 / $1,473.17	Professional		$1,323.35	$1,402.75	$1,473.17