Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.66 / $1,033.85 / $1,075.21	Facility		$789.66	$1,033.85	$1,075.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.06 / $1,142.79 / $1,318.34	Professional		$923.06	$1,142.79	$1,318.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,352.31 / $2,172.39 / $2,283.17	Facility		$1,352.31	$2,172.39	$2,283.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,016.07 / $1,304.74 / $1,317.91	Professional		$1,016.07	$1,304.74	$1,317.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,629.29 / $3,063.07 / $3,957.36	Facility		$1,629.29	$3,063.07	$3,957.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,102.35 / $2,844.35 / $3,584.44	Professional		$2,102.35	$2,844.35	$3,584.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $2,845.73	Facility		$1,599.98	$1,599.98	$2,845.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,599.98 / $11,927.33	Professional		$1,167.99	$1,599.98	$11,927.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,135.30 / $1,384.52 / $1,730.65	Professional		$1,135.30	$1,384.52	$1,730.65
United Facility/Professional Professional Modifier Low / Median / High Price $722.52 / $1,083.78 / $1,670.08	Professional		$722.52	$1,083.78	$1,670.08