Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.90 / $995.30 / $1,032.16	Facility		$703.90	$995.30	$1,032.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.08 / $1,032.16 / $1,161.71	Professional		$855.08	$1,032.16	$1,161.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,205.45 / $1,936.46 / $2,035.22	Facility		$1,205.45	$1,936.46	$2,035.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.73 / $1,133.98 / $1,133.98	Professional		$905.73	$1,133.98	$1,133.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,452.35 / $2,730.41 / $3,518.11	Facility		$1,452.35	$2,730.41	$3,518.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,839.64 / $2,487.32 / $3,195.16	Professional		$1,839.64	$2,487.32	$3,195.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $2,523.50	Facility		$1,399.15	$1,399.15	$2,523.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,399.15 / $10,576.77	Professional		$1,021.38	$1,399.15	$10,576.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,012.01 / $1,234.16 / $1,542.70	Professional		$1,012.01	$1,234.16	$1,542.70
United Facility/Professional Professional Modifier Low / Median / High Price $644.04 / $966.08 / $1,549.17	Professional		$644.04	$966.08	$1,549.17