Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.09 / $1,168.29 / $1,211.56	Facility		$686.09	$1,168.29	$1,211.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.27 / $1,013.78 / $1,211.56	Professional		$898.27	$1,013.78	$1,211.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,414.95 / $2,273.02 / $2,388.94	Facility		$1,414.95	$2,273.02	$2,388.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.77 / $1,105.28 / $1,137.16	Professional		$920.77	$1,105.28	$1,137.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,704.77 / $2,903.48 / $3,303.96	Facility		$1,704.77	$2,903.48	$3,303.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,159.37 / $2,727.62 / $3,750.48	Professional		$2,159.37	$2,727.62	$3,750.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $2,663.70	Facility		$1,179.41	$1,179.41	$2,663.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $1,179.41 / $10,313.26	Professional		$860.97	$1,179.41	$10,313.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,187.89 / $1,448.65 / $1,810.81	Professional		$1,187.89	$1,448.65	$1,810.81
United Facility/Professional Professional Modifier Low / Median / High Price $725.52 / $1,023.89 / $1,498.50	Professional		$725.52	$1,023.89	$1,498.50