Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.58 / $1,257.55 / $1,304.11	Facility		$884.58	$1,257.55	$1,304.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.36 / $1,271.98 / $1,360.68	Professional		$1,080.36	$1,271.98	$1,360.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.06 / $2,446.67 / $2,571.46	Facility		$1,523.06	$2,446.67	$2,571.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,144.35 / $1,425.04 / $1,482.13	Professional		$1,144.35	$1,425.04	$1,482.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,835.01 / $3,449.82 / $4,357.89	Facility		$1,835.01	$3,449.82	$4,357.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,324.35 / $3,058.35 / $4,037.02	Professional		$2,324.35	$3,058.35	$4,037.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $3,087.03	Facility		$1,638.80	$1,638.80	$3,087.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,603.58 / $12,938.66	Professional		$1,196.32	$1,603.58	$12,938.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,278.64 / $1,559.32 / $1,949.15	Professional		$1,278.64	$1,559.32	$1,949.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.96 / $1,203.23 / $1,416.40	Facility		$1,028.96	$1,203.23	$1,416.40
United Facility/Professional Professional Modifier Low / Median / High Price $813.75 / $1,220.61 / $1,626.01	Professional		$813.75	$1,220.61	$1,626.01