Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.74 / $2,004.10 / $2,084.26	Facility		$1,478.74	$2,004.10	$2,084.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,789.31 / $2,215.27 / $2,509.34	Professional		$1,789.31	$2,215.27	$2,509.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,621.41 / $4,211.10 / $4,425.87	Facility		$2,621.41	$4,211.10	$4,425.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,969.62 / $2,443.31 / $2,516.48	Professional		$1,969.62	$2,443.31	$2,516.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,158.33 / $5,937.65 / $7,532.48	Facility		$3,158.33	$5,937.65	$7,532.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,001.63 / $5,413.97 / $6,948.32	Professional		$4,001.63	$5,413.97	$6,948.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $5,215.55	Facility		$3,364.97	$3,364.97	$5,215.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $3,364.97 / $21,859.95	Professional		$2,456.42	$3,364.97	$21,859.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,200.73 / $2,683.82 / $3,354.77	Professional		$2,200.73	$2,683.82	$3,354.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.58 / $2,100.88 / $3,127.45	Professional		$1,400.58	$2,100.88	$3,127.45