Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.86 / $1,083.88 / $1,127.24	Facility		$827.86	$1,083.88	$1,127.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.72 / $1,141.51 / $1,314.84	Professional		$967.72	$1,141.51	$1,314.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.74 / $2,277.50 / $2,393.65	Facility		$1,417.74	$2,277.50	$2,393.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.23 / $1,367.87 / $1,376.42	Professional		$1,065.23	$1,367.87	$1,376.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,708.13 / $3,211.28 / $4,113.55	Facility		$1,708.13	$3,211.28	$4,113.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,163.63 / $2,846.88 / $3,757.88	Professional		$2,163.63	$2,846.88	$3,757.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $2,979.08	Facility		$1,654.54	$1,654.54	$2,979.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,654.54 / $12,486.21	Professional		$1,207.81	$1,654.54	$12,486.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,190.23 / $1,451.50 / $1,814.37	Professional		$1,190.23	$1,451.50	$1,814.37
United Facility/Professional Professional Modifier Low / Median / High Price $757.48 / $1,165.71 / $1,750.88	Professional		$757.48	$1,165.71	$1,750.88