Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.28 / $1,182.61 / $1,229.92	Facility		$903.28	$1,182.61	$1,229.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.86 / $1,307.23 / $1,618.34	Professional		$1,055.86	$1,307.23	$1,618.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.89 / $2,484.96 / $2,611.69	Facility		$1,546.89	$2,484.96	$2,611.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,216.91 / $1,492.48 / $1,521.14	Professional		$1,216.91	$1,492.48	$1,521.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,863.72 / $3,503.79 / $4,721.42	Facility		$1,863.72	$3,503.79	$4,721.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,484.96 / $3,354.70 / $4,250.68	Professional		$2,484.96	$3,354.70	$4,250.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $3,331.69	Facility		$1,552.76	$1,552.76	$3,331.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,552.76 / $13,964.12	Professional		$1,133.51	$1,552.76	$13,964.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,298.65 / $1,583.72 / $1,979.65	Professional		$1,298.65	$1,583.72	$1,979.65
United Facility/Professional Professional Modifier Low / Median / High Price $826.48 / $1,239.72 / $1,939.45	Professional		$826.48	$1,239.72	$1,939.45