Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.38 / $1,575.53 / $1,638.55	Facility		$1,203.38	$1,575.53	$1,638.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,406.67 / $1,741.54 / $2,045.80	Professional		$1,406.67	$1,741.54	$2,045.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.83 / $3,310.57 / $3,479.41	Facility		$2,060.83	$3,310.57	$3,479.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.42 / $1,988.34 / $1,988.34	Professional		$1,548.42	$1,988.34	$1,988.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,482.92 / $4,667.89 / $6,141.04	Facility		$2,482.92	$4,667.89	$6,141.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,262.43 / $4,413.87 / $5,462.44	Professional		$3,262.43	$4,413.87	$5,462.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $4,343.18	Facility		$2,482.86	$2,482.86	$4,343.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $2,482.86 / $18,203.59	Professional		$1,812.49	$2,482.86	$18,203.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,730.10 / $2,109.89 / $2,637.36	Professional		$1,730.10	$2,109.89	$2,637.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.50 / $2,182.50 / $2,545.08	Facility		$2,182.50	$2,182.50	$2,545.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.07 / $1,728.91 / $2,545.08	Professional		$1,101.07	$1,728.91	$2,545.08