Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.27 / $1,463.28 / $1,517.48	Facility		$855.27	$1,463.28	$1,517.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.15 / $1,380.30 / $1,517.48	Professional		$1,133.15	$1,380.30	$1,517.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,772.23 / $2,846.96 / $2,992.15	Facility		$1,772.23	$2,846.96	$2,992.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,286.26 / $1,377.82 / $1,480.00	Professional		$1,286.26	$1,377.82	$1,480.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,135.21 / $3,691.37 / $4,218.70	Facility		$2,135.21	$3,691.37	$4,218.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,704.61 / $3,416.35 / $4,697.47	Professional		$2,704.61	$3,416.35	$4,697.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $3,336.28	Facility		$1,549.06	$1,549.06	$3,336.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,549.06 / $12,759.41	Professional		$1,130.81	$1,549.06	$12,759.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,487.83 / $1,814.43 / $2,268.03	Professional		$1,487.83	$1,814.43	$2,268.03
United Facility/Professional Professional Modifier Low / Median / High Price $884.11 / $1,283.71 / $1,876.87	Professional		$884.11	$1,283.71	$1,876.87