Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.95 / $1,110.19 / $1,154.58	Facility		$847.95	$1,110.19	$1,154.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.20 / $1,227.16 / $1,502.18	Professional		$991.20	$1,227.16	$1,502.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,452.15 / $2,332.77 / $2,451.73	Facility		$1,452.15	$2,332.77	$2,451.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,129.57 / $1,401.07 / $1,425.16	Professional		$1,129.57	$1,401.07	$1,425.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,749.58 / $3,289.21 / $4,432.26	Facility		$1,749.58	$3,289.21	$4,432.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,332.77 / $3,149.24 / $3,945.55	Professional		$2,332.77	$3,149.24	$3,945.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $3,067.57	Facility		$1,823.10	$1,823.10	$3,067.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,823.10 / $12,857.11	Professional		$1,330.86	$1,823.10	$12,857.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,219.11 / $1,486.72 / $1,858.40	Professional		$1,219.11	$1,486.72	$1,858.40
United Facility/Professional Professional Modifier Low / Median / High Price $775.86 / $1,163.79 / $1,793.37	Professional		$775.86	$1,163.79	$1,793.37