Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.83 / $1,286.83 / $1,338.30	Facility		$1,224.83	$1,286.83	$1,338.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.45 / $1,338.30 / $1,623.36	Professional		$1,171.45	$1,338.30	$1,623.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,683.21 / $2,703.95 / $2,841.85	Facility		$1,683.21	$2,703.95	$2,841.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,264.69 / $1,507.96 / $1,526.81	Professional		$1,264.69	$1,507.96	$1,526.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,027.96 / $3,650.33 / $4,872.97	Facility		$2,027.96	$3,650.33	$4,872.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,588.77 / $3,502.45 / $4,461.52	Professional		$2,588.77	$3,502.45	$4,461.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $3,257.59	Facility		$2,119.51	$2,119.51	$3,257.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $2,119.51 / $13,653.57	Professional		$1,547.24	$2,119.51	$13,653.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $899.31 / $1,348.97 / $2,087.64	Professional		$899.31	$1,348.97	$2,087.64