Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.88 / $1,803.89 / $1,876.04	Facility		$1,231.88	$1,803.89	$1,876.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.56 / $1,830.06 / $2,009.48	Professional		$1,610.56	$1,830.06	$2,009.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,359.53 / $3,790.41 / $3,983.72	Facility		$2,359.53	$3,790.41	$3,983.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,772.86 / $2,035.44 / $2,060.88	Professional		$1,772.86	$2,035.44	$2,060.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,842.81 / $5,278.03 / $6,132.11	Facility		$2,842.81	$5,278.03	$6,132.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,600.89 / $4,712.53 / $6,254.18	Professional		$3,600.89	$4,712.53	$6,254.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $4,441.88	Facility		$2,677.88	$2,677.88	$4,441.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $2,677.88 / $18,249.09	Professional		$1,954.85	$2,677.88	$18,249.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,980.89 / $2,415.71 / $3,019.65	Professional		$1,980.89	$2,415.71	$3,019.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.66 / $1,891.00 / $2,605.35	Professional		$1,260.66	$1,891.00	$2,605.35