Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.06 / $1,177.39 / $1,221.00	Facility		$732.06	$1,177.39	$1,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.91 / $1,177.39 / $1,282.10	Professional		$969.91	$1,177.39	$1,282.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.99 / $2,290.73 / $2,407.57	Facility		$1,425.99	$2,290.73	$2,407.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.43 / $1,179.33 / $1,226.58	Professional		$1,071.43	$1,179.33	$1,226.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,718.06 / $3,092.50 / $3,819.28	Facility		$1,718.06	$3,092.50	$3,819.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,176.19 / $2,863.43 / $3,779.72	Professional		$2,176.19	$2,863.43	$3,779.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $2,684.46	Facility		$1,544.16	$1,544.16	$2,684.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,544.16 / $11,214.79	Professional		$1,127.24	$1,544.16	$11,214.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,197.15 / $1,459.94 / $1,824.92	Professional		$1,197.15	$1,459.94	$1,824.92
United Facility/Professional Professional Modifier Low / Median / High Price $761.88 / $1,101.06 / $1,540.41	Professional		$761.88	$1,101.06	$1,540.41