Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.68 / $1,386.08 / $1,441.52	Facility		$1,058.68	$1,386.08	$1,441.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.53 / $1,532.13 / $1,857.17	Professional		$1,237.53	$1,532.13	$1,857.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,813.02 / $2,912.48 / $3,061.02	Facility		$1,813.02	$2,912.48	$3,061.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.50 / $1,749.25 / $1,760.19	Professional		$1,396.50	$1,749.25	$1,760.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,184.36 / $4,106.60 / $5,533.71	Facility		$2,184.36	$4,106.60	$5,533.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,912.48 / $3,931.85 / $4,877.96	Professional		$2,912.48	$3,931.85	$4,877.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $3,817.17	Facility		$1,819.89	$1,819.89	$3,817.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $15,998.93	Professional		$1,328.52	$1,819.89	$15,998.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,522.07 / $1,856.19 / $2,320.23	Professional		$1,522.07	$1,856.19	$2,320.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $968.67 / $1,557.14 / $2,225.67	Professional		$968.67	$1,557.14	$2,225.67