Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.95 / $1,278.46 / $1,325.81	Facility		$1,075.95	$1,278.46	$1,325.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.33 / $1,278.46 / $1,325.81	Professional		$1,098.33	$1,278.46	$1,325.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.39 / $2,487.38 / $2,614.23	Facility		$1,548.39	$2,487.38	$2,614.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,163.39 / $1,291.56 / $1,327.04	Professional		$1,163.39	$1,291.56	$1,327.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,865.54 / $3,426.70 / $3,953.52	Facility		$1,865.54	$3,426.70	$3,953.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,363.01 / $3,059.55 / $4,104.18	Professional		$2,363.01	$3,059.55	$4,104.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $2,914.90	Facility		$1,618.14	$1,618.14	$2,914.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,618.14 / $11,875.32	Professional		$1,181.24	$1,618.14	$11,875.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,279.29 / $1,560.11 / $1,950.13	Professional		$1,279.29	$1,560.11	$1,950.13
United Facility/Professional Professional Modifier Low / Median / High Price $827.28 / $1,183.00 / $1,639.80	Professional		$827.28	$1,183.00	$1,639.80