Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,230.27	Facility		$1,174.90	$1,174.90	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,995.26	Professional		$1,023.29	$1,230.27	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $2,454.71	Facility		$2,089.30	$2,344.23	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,348.96	Professional		$1,071.52	$1,348.96	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $3,981.07	Facility		$1,698.24	$3,090.30	$3,981.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,630.78	Professional		$2,290.87	$2,884.03	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $4,168.69	Facility		$1,513.56	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $12,589.25	Professional		$1,096.48	$2,137.96	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,949.84	Professional		$1,202.26	$1,513.56	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,513.56	Facility		$1,122.02	$1,318.26	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,737.80	Professional		$758.58	$1,148.15	$1,737.80