Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.57 / $1,154.20 / $1,200.35	Facility		$881.57	$1,154.20	$1,200.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.50 / $1,275.81 / $1,457.92	Professional		$1,030.50	$1,275.81	$1,457.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,509.72 / $2,425.26 / $2,548.94	Facility		$1,509.72	$2,425.26	$2,548.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.33 / $1,456.62 / $1,481.65	Professional		$1,134.33	$1,456.62	$1,481.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,818.95 / $3,419.62 / $4,376.35	Facility		$1,818.95	$3,419.62	$4,376.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,324.94 / $3,145.50 / $4,001.68	Professional		$2,324.94	$3,145.50	$4,001.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $3,170.99	Facility		$1,769.38	$1,769.38	$3,170.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,769.38 / $13,290.57	Professional		$1,291.65	$1,769.38	$13,290.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,267.44 / $1,545.67 / $1,932.08	Professional		$1,267.44	$1,545.67	$1,932.08
United Facility/Professional Professional Modifier Low / Median / High Price $806.62 / $1,364.57 / $1,854.95	Professional		$806.62	$1,364.57	$1,854.95