Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.99 / $1,374.56 / $1,429.54	Facility		$1,013.99	$1,374.56	$1,429.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.25 / $1,513.36 / $1,755.59	Professional		$1,227.25	$1,513.36	$1,755.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,797.96 / $2,888.29 / $3,035.59	Facility		$1,797.96	$2,888.29	$3,035.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.92 / $1,675.42 / $1,696.36	Professional		$1,350.92	$1,675.42	$1,696.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,166.21 / $4,072.49 / $5,269.90	Facility		$2,166.21	$4,072.49	$5,269.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,799.64 / $3,787.74 / $4,765.68	Professional		$2,799.64	$3,787.74	$4,765.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $3,595.21	Facility		$1,743.07	$1,743.07	$3,595.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,743.07 / $15,068.62	Professional		$1,272.44	$1,743.07	$15,068.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,509.44 / $1,840.79 / $2,300.98	Professional		$1,509.44	$1,840.79	$2,300.98
United Facility/Professional Professional Modifier Low / Median / High Price $960.63 / $1,483.65 / $2,144.53	Professional		$960.63	$1,483.65	$2,144.53