Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.64 / $1,006.31 / $1,043.58	Facility		$641.64	$1,006.31	$1,043.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.10 / $1,026.11 / $1,158.07	Professional		$850.10	$1,026.11	$1,158.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,218.77 / $1,957.87 / $2,057.71	Facility		$1,218.77	$1,957.87	$2,057.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.74 / $1,033.73 / $1,138.79	Professional		$915.74	$1,033.73	$1,138.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,468.40 / $2,643.12 / $3,449.79	Facility		$1,468.40	$2,643.12	$3,449.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,859.98 / $2,479.54 / $3,230.49	Professional		$1,859.98	$2,479.54	$3,230.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $2,398.01	Facility		$1,184.20	$1,184.20	$2,398.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $1,184.20 / $10,050.81	Professional		$864.47	$1,184.20	$10,050.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.19 / $1,247.80 / $1,559.75	Professional		$1,023.19	$1,247.80	$1,559.75
United Facility/Professional Professional Modifier Low / Median / High Price $651.16 / $968.05 / $1,377.29	Professional		$651.16	$968.05	$1,377.29