Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.91 / $1,340.54 / $1,390.19	Facility		$827.91	$1,340.54	$1,390.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.16 / $1,255.66 / $1,390.19	Professional		$1,109.16	$1,255.66	$1,390.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,623.57 / $2,608.15 / $2,741.17	Facility		$1,623.57	$2,608.15	$2,741.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,333.75 / $1,387.19	Professional		$1,170.00	$1,333.75	$1,387.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,956.11 / $3,358.04 / $3,837.76	Facility		$1,956.11	$3,358.04	$3,837.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,477.73 / $3,129.78 / $4,303.45	Professional		$2,477.73	$3,129.78	$4,303.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $3,056.42	Facility		$1,703.99	$1,703.99	$3,056.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,703.99 / $12,062.39	Professional		$1,243.91	$1,703.99	$12,062.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,363.02 / $1,662.23 / $2,077.78	Professional		$1,363.02	$1,662.23	$2,077.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $867.45 / $1,196.63 / $1,719.43	Professional		$867.45	$1,196.63	$1,719.43