Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,445.44	Facility		$1,380.38	$1,380.38	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,511.89	Professional		$1,258.93	$1,584.89	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $3,090.30	Facility		$2,630.27	$2,951.21	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $1,737.80	Professional		$1,348.96	$1,659.59	$1,737.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $5,011.87	Facility		$2,187.76	$3,890.45	$5,011.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $4,570.88	Professional		$2,884.03	$3,630.78	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,011.87 / $5,011.87	Facility		$1,737.80	$5,011.87	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $15,135.61	Professional		$1,258.93	$2,630.27	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,511.89	Professional		$1,513.56	$1,949.84	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,137.96	Facility		$1,445.44	$1,819.70	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $2,137.96	Professional		$954.99	$1,479.11	$2,137.96