Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.17 / $1,347.45 / $1,401.34	Facility		$1,029.17	$1,347.45	$1,401.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.04 / $1,489.43 / $1,809.49	Professional		$1,203.04	$1,489.43	$1,809.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,762.50 / $2,831.32 / $2,975.72	Facility		$1,762.50	$2,831.32	$2,975.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,360.64 / $1,700.50 / $1,806.78	Professional		$1,360.64	$1,700.50	$1,806.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,123.48 / $3,992.16 / $5,379.51	Facility		$2,123.48	$3,992.16	$5,379.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,831.32 / $3,822.28 / $4,752.72	Professional		$2,831.32	$3,822.28	$4,752.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $3,634.49	Facility		$1,769.18	$1,769.18	$3,634.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,769.18 / $15,233.27	Professional		$1,291.50	$1,769.18	$15,233.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,479.65 / $1,804.46 / $2,255.57	Professional		$1,479.65	$1,804.46	$2,255.57
United Facility/Professional Professional Modifier Low / Median / High Price $941.68 / $1,513.74 / $2,168.52	Professional		$941.68	$1,513.74	$2,168.52