Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,513.56	Facility		$1,479.11	$1,479.11	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,238.72	Professional		$1,122.02	$1,412.54	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,884.03 / $3,019.95	Facility		$2,630.27	$2,884.03	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,479.11	Professional		$1,288.25	$1,380.38	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,801.89 / $5,011.87	Facility		$2,137.96	$3,801.89	$5,011.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $4,570.88	Professional		$2,818.38	$3,548.13	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,265.80 / $4,265.80	Facility		$1,548.82	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,398.83 / $12,882.50	Professional		$1,122.02	$2,398.83	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,454.71	Professional		$1,479.11	$1,905.46	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,584.89	Facility		$1,174.90	$1,380.38	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $1,819.70	Professional		$870.96	$1,288.25	$1,819.70