Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,621.81	Facility		$1,584.89	$1,584.89	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,884.03	Professional		$1,445.44	$1,995.26	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,388.44 / $3,548.13	Facility		$3,019.95	$3,388.44	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,041.74	Professional		$1,548.82	$1,995.26	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $5,754.40	Facility		$2,511.89	$4,466.84	$5,754.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $5,248.07	Professional		$3,311.31	$4,168.69	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,025.60 / $6,025.60	Facility		$2,630.27	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $18,197.01	Professional		$1,905.46	$3,090.30	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,884.03	Professional		$1,737.80	$2,238.72	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,570.40	Facility		$1,862.09	$2,187.76	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,570.40	Professional		$1,096.48	$1,819.70	$2,570.40