Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.56 / $1,204.02 / $1,248.61	Facility		$756.56	$1,204.02	$1,248.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.39 / $1,204.02 / $1,251.42	Professional		$1,034.39	$1,204.02	$1,251.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.23 / $2,342.54 / $2,462.01	Facility		$1,458.23	$2,342.54	$2,462.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.65 / $1,218.82 / $1,250.07	Professional		$1,095.65	$1,218.82	$1,250.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,756.91 / $3,261.87 / $3,752.20	Facility		$1,756.91	$3,261.87	$3,752.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,225.41 / $2,912.39 / $3,865.19	Professional		$2,225.41	$2,912.39	$3,865.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $2,745.17	Facility		$1,300.55	$1,300.55	$2,745.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $1,300.55 / $11,215.56	Professional		$949.40	$1,300.55	$11,215.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,224.21 / $1,492.95 / $1,866.18	Professional		$1,224.21	$1,492.95	$1,866.18
United Facility/Professional Professional Modifier Low / Median / High Price $779.11 / $1,124.90 / $1,544.32	Professional		$779.11	$1,124.90	$1,544.32