Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.25 / $1,371.53 / $1,426.39	Facility		$1,001.25	$1,371.53	$1,426.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.54 / $1,452.73 / $1,763.13	Professional		$1,224.54	$1,452.73	$1,763.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $2,881.93 / $3,028.91	Facility		$1,794.00	$2,881.93	$3,028.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,347.96 / $1,654.37 / $1,722.19	Professional		$1,347.96	$1,654.37	$1,722.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,161.44 / $3,994.03 / $5,292.54	Facility		$2,161.44	$3,994.03	$5,292.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,811.66 / $3,804.02 / $4,755.18	Professional		$2,811.66	$3,804.02	$4,755.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $3,555.49	Facility		$2,084.13	$2,084.13	$3,555.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $2,084.13 / $14,902.14	Professional		$1,521.41	$2,084.13	$14,902.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,506.12 / $1,836.74 / $2,295.92	Professional		$1,506.12	$1,836.74	$2,295.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,815.91 / $1,815.91 / $2,117.59	Facility		$1,815.91	$1,815.91	$2,117.59
United Facility/Professional Professional Modifier Low / Median / High Price $958.51 / $1,491.53 / $2,117.59	Professional		$958.51	$1,491.53	$2,117.59