Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,284.14 / $1,815.76 / $1,883.01	Facility		$1,284.14	$1,815.76	$1,883.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,559.94 / $1,883.01 / $2,082.05	Professional		$1,559.94	$1,883.01	$2,082.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,199.13 / $3,532.74 / $3,712.91	Facility		$2,199.13	$3,532.74	$3,712.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,652.34 / $2,068.73 / $2,151.62	Professional		$1,652.34	$2,068.73	$2,151.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,649.56 / $4,981.16 / $6,202.22	Facility		$2,649.56	$4,981.16	$6,202.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,356.10 / $4,457.85 / $5,829.02	Professional		$3,356.10	$4,457.85	$5,829.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $4,547.30	Facility		$2,507.59	$2,507.59	$4,547.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $2,507.59 / $19,059.09	Professional		$1,830.54	$2,507.59	$19,059.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,846.22 / $2,251.48 / $2,814.36	Professional		$1,846.22	$2,251.48	$2,814.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.96 / $1,762.45 / $2,702.04	Professional		$1,174.96	$1,762.45	$2,702.04