Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.26 / $1,658.25 / $1,724.57	Facility		$1,116.26	$1,658.25	$1,724.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,480.53 / $1,724.57 / $2,119.05	Professional		$1,480.53	$1,724.57	$2,119.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,169.03 / $3,484.39 / $3,662.09	Facility		$2,169.03	$3,484.39	$3,662.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.73 / $1,844.39 / $1,991.79	Professional		$1,629.73	$1,844.39	$1,991.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,613.29 / $4,703.93 / $6,360.93	Facility		$2,613.29	$4,703.93	$6,360.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,379.24 / $4,571.92 / $5,749.24	Professional		$3,379.24	$4,571.92	$5,749.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $4,083.26	Facility		$2,571.77	$2,571.77	$4,083.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $2,571.77 / $16,571.98	Professional		$1,877.39	$2,571.77	$16,571.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,820.96 / $2,220.69 / $2,775.86	Professional		$1,820.96	$2,220.69	$2,775.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,158.88 / $1,833.79 / $2,787.51	Professional		$1,158.88	$1,833.79	$2,787.51