Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.84 / $1,014.62 / $1,055.20	Facility		$758.84	$1,014.62	$1,055.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.88 / $1,101.00 / $1,334.83	Professional		$905.88	$1,101.00	$1,334.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,327.15 / $2,131.96 / $2,240.69	Facility		$1,327.15	$2,131.96	$2,240.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.74 / $1,253.83 / $1,275.38	Professional		$1,003.74	$1,253.83	$1,275.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,598.97 / $3,006.06 / $4,006.86	Facility		$1,598.97	$3,006.06	$4,006.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,128.65 / $2,878.15 / $3,517.73	Professional		$2,128.65	$2,878.15	$3,517.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,764.58	Facility		$1,620.00	$1,620.00	$2,764.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $11,587.18	Professional		$1,182.59	$1,620.00	$11,587.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,114.15 / $1,358.73 / $1,698.41	Professional		$1,114.15	$1,358.73	$1,698.41
United Facility/Professional Professional Modifier Low / Median / High Price $709.07 / $1,068.50 / $1,599.70	Professional		$709.07	$1,068.50	$1,599.70