Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.40 / $1,175.58 / $1,219.13	Facility		$831.40	$1,175.58	$1,219.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.96 / $1,209.24 / $1,312.26	Professional		$1,009.96	$1,209.24	$1,312.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,423.80 / $2,287.23 / $2,403.88	Facility		$1,423.80	$2,287.23	$2,403.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.79 / $1,339.39 / $1,339.39	Professional		$1,069.79	$1,339.39	$1,339.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,715.42 / $3,224.99 / $3,909.09	Facility		$1,715.42	$3,224.99	$3,909.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,172.87 / $2,859.04 / $3,773.93	Professional		$2,172.87	$2,859.04	$3,773.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $2,970.97	Facility		$1,499.97	$1,499.97	$2,970.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,499.97 / $12,452.23	Professional		$1,094.98	$1,499.97	$12,452.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,195.32 / $1,457.71 / $1,822.13	Professional		$1,195.32	$1,457.71	$1,822.13
United Facility/Professional Professional Modifier Low / Median / High Price $760.72 / $1,141.07 / $1,560.67	Professional		$760.72	$1,141.07	$1,560.67