Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.20 / $1,438.88 / $1,496.44	Facility		$1,069.20	$1,438.88	$1,496.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.67 / $1,438.88 / $1,635.70	Professional		$1,284.67	$1,438.88	$1,635.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.09 / $3,023.44 / $3,177.64	Facility		$1,882.09	$3,023.44	$3,177.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,414.11 / $1,766.63 / $1,788.71	Professional		$1,414.11	$1,766.63	$1,788.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,267.58 / $4,118.00 / $4,853.35	Facility		$2,267.58	$4,118.00	$4,853.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,872.27 / $3,676.79 / $4,988.68	Professional		$2,872.27	$3,676.79	$4,988.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $3,795.00	Facility		$1,902.78	$1,902.78	$3,795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,902.78 / $15,906.00	Professional		$1,389.03	$1,902.78	$15,906.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,580.04 / $1,926.89 / $2,408.61	Professional		$1,580.04	$1,926.89	$2,408.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.57 / $1,508.36 / $2,249.69	Professional		$1,005.57	$1,508.36	$2,249.69