Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.02 / $1,577.67 / $1,640.78	Facility		$1,205.02	$1,577.67	$1,640.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.59 / $1,743.91 / $2,173.42	Professional		$1,408.59	$1,743.91	$2,173.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,063.64 / $3,315.08 / $3,484.15	Facility		$2,063.64	$3,315.08	$3,484.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,634.32 / $1,991.05 / $2,042.90	Professional		$1,634.32	$1,991.05	$2,042.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,486.31 / $4,674.26 / $6,298.65	Facility		$2,486.31	$4,674.26	$6,298.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,315.08 / $4,475.35 / $5,708.65	Professional		$3,315.08	$4,475.35	$5,708.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $4,312.06	Facility		$2,637.76	$2,637.76	$4,312.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $2,637.76 / $18,073.16	Professional		$1,925.56	$2,637.76	$18,073.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,732.47 / $2,112.77 / $2,640.96	Professional		$1,732.47	$2,112.77	$2,640.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.57 / $1,772.38 / $2,652.06	Professional		$1,102.57	$1,772.38	$2,652.06