Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.14 / $1,359.18 / $1,413.55	Facility		$1,038.14	$1,359.18	$1,413.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.51 / $1,413.55 / $1,588.17	Professional		$1,213.51	$1,413.55	$1,588.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,777.84 / $2,855.97 / $3,001.62	Facility		$1,777.84	$2,855.97	$3,001.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.80 / $1,715.30 / $1,715.30	Professional		$1,335.80	$1,715.30	$1,715.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,141.98 / $4,026.92 / $4,890.27	Facility		$2,141.98	$4,026.92	$4,890.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,713.17 / $3,569.96 / $4,712.35	Professional		$2,713.17	$3,569.96	$4,712.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $3,708.82	Facility		$2,050.41	$2,050.41	$3,708.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,841.82 / $15,544.79	Professional		$1,496.80	$1,841.82	$15,544.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,492.53 / $1,820.17 / $2,275.21	Professional		$1,492.53	$1,820.17	$2,275.21
United Facility/Professional Professional Modifier Low / Median / High Price $949.88 / $1,424.81 / $2,195.59	Professional		$949.88	$1,424.81	$2,195.59