Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.30 / $1,554.53 / $1,612.11	Facility		$1,056.30	$1,554.53	$1,612.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.52 / $1,593.97 / $1,729.76	Professional		$1,335.52	$1,593.97	$1,729.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.75 / $3,024.50 / $3,178.75	Facility		$1,882.75	$3,024.50	$3,178.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,414.61 / $1,701.69 / $1,718.05	Professional		$1,414.61	$1,701.69	$1,718.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,268.38 / $4,264.55 / $5,152.80	Facility		$2,268.38	$4,264.55	$5,152.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,873.28 / $3,780.63 / $4,990.43	Professional		$2,873.28	$3,780.63	$4,990.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $3,719.81	Facility		$1,815.81	$1,815.81	$3,719.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,815.81 / $15,590.87	Professional		$1,325.54	$1,815.81	$15,590.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,580.59 / $1,927.56 / $2,409.44	Professional		$1,580.59	$1,927.56	$2,409.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.92 / $1,508.89 / $2,222.73	Professional		$1,005.92	$1,508.89	$2,222.73