Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.61 / $1,239.88 / $1,289.48	Facility		$864.61	$1,239.88	$1,289.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.00 / $1,289.48 / $1,614.31	Professional		$1,107.00	$1,289.48	$1,614.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.79 / $2,605.29 / $2,738.16	Facility		$1,621.79	$2,605.29	$2,738.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,218.57 / $1,428.58 / $1,556.88	Professional		$1,218.57	$1,428.58	$1,556.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,953.97 / $3,517.14 / $4,845.81	Facility		$1,953.97	$3,517.14	$4,845.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,574.34 / $3,482.92 / $4,298.72	Professional		$2,574.34	$3,482.92	$4,298.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.28 / $1,486.28 / $3,070.14	Facility		$1,486.28	$1,486.28	$3,070.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,486.28 / $12,867.91	Professional		$1,084.98	$1,486.28	$12,867.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,361.55 / $1,660.43 / $2,075.53	Professional		$1,361.55	$1,660.43	$2,075.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $866.50 / $1,299.76 / $1,828.59	Professional		$866.50	$1,299.76	$1,828.59