Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.78 / $1,074.31 / $1,114.09	Facility		$759.78	$1,074.31	$1,114.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.96 / $1,105.58 / $1,233.47	Professional		$922.96	$1,105.58	$1,233.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,301.14 / $2,090.19 / $2,196.79	Facility		$1,301.14	$2,090.19	$2,196.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.63 / $1,223.99 / $1,258.95	Professional		$977.63	$1,223.99	$1,258.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,567.64 / $2,947.17 / $3,574.00	Facility		$1,567.64	$2,947.17	$3,574.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,985.68 / $2,612.73 / $3,448.81	Professional		$1,985.68	$2,612.73	$3,448.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $2,737.55	Facility		$1,306.07	$1,306.07	$2,737.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $1,306.07 / $11,473.91	Professional		$953.43	$1,306.07	$11,473.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,092.33 / $1,332.12 / $1,665.15	Professional		$1,092.33	$1,332.12	$1,665.15
United Facility/Professional Professional Modifier Low / Median / High Price $695.18 / $1,042.77 / $1,598.66	Professional		$695.18	$1,042.77	$1,598.66