Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,756.69 / $2,425.84 / $2,522.87	Facility		$1,756.69	$2,425.84	$2,522.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,165.85 / $2,632.34 / $2,948.22	Professional		$2,165.85	$2,632.34	$2,948.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,173.06 / $5,097.28 / $5,357.24	Facility		$3,173.06	$5,097.28	$5,357.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,384.11 / $2,902.58 / $2,952.48	Professional		$2,384.11	$2,902.58	$2,952.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,822.96 / $7,187.16 / $8,849.92	Facility		$3,822.96	$7,187.16	$8,849.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,842.42 / $6,371.60 / $8,410.51	Professional		$4,842.42	$6,371.60	$8,410.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $6,353.15	Facility		$3,578.08	$3,578.08	$6,353.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $3,501.18 / $26,627.99	Professional		$2,612.00	$3,501.18	$26,627.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,663.86 / $3,248.61 / $4,060.76	Professional		$2,663.86	$3,248.61	$4,060.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,695.32 / $2,627.87 / $3,715.30	Professional		$1,695.32	$2,627.87	$3,715.30