Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.76 / $1,102.09 / $1,142.92	Facility		$735.76	$1,102.09	$1,142.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.82 / $1,102.09 / $1,179.15	Professional		$946.82	$1,102.09	$1,179.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,334.79 / $2,144.23 / $2,253.60	Facility		$1,334.79	$2,144.23	$2,253.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.90 / $1,172.40 / $1,247.18	Professional		$1,002.90	$1,172.40	$1,247.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,608.18 / $2,903.05 / $3,512.58	Facility		$1,608.18	$2,903.05	$3,512.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,037.03 / $2,680.30 / $3,538.00	Professional		$2,037.03	$2,680.30	$3,538.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $2,556.28	Facility		$1,304.10	$1,304.10	$2,556.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,304.10 / $10,714.14	Professional		$952.00	$1,304.10	$10,714.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,120.57 / $1,366.56 / $1,708.20	Professional		$1,120.57	$1,366.56	$1,708.20
United Facility/Professional Professional Modifier Low / Median / High Price $713.16 / $1,047.41 / $1,413.59	Professional		$713.16	$1,047.41	$1,413.59