Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.49 / $1,303.34 / $1,355.48	Facility		$995.49	$1,303.34	$1,355.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.67 / $1,432.44 / $1,604.33	Professional		$1,163.67	$1,432.44	$1,604.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,704.82 / $2,738.66 / $2,878.33	Facility		$1,704.82	$2,738.66	$2,878.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,280.93 / $1,644.85 / $1,660.84	Professional		$1,280.93	$1,644.85	$1,660.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,054.00 / $3,861.51 / $4,815.85	Facility		$2,054.00	$3,861.51	$4,815.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,601.73 / $3,461.40 / $4,518.79	Professional		$2,601.73	$3,461.40	$4,518.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,711.28 / $1,711.28 / $3,514.38	Facility		$1,711.28	$1,711.28	$3,514.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,711.28 / $14,729.82	Professional		$1,249.23	$1,711.28	$14,729.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,431.23 / $1,745.41 / $2,181.76	Professional		$1,431.23	$1,745.41	$2,181.76
United Facility/Professional Professional Modifier Low / Median / High Price $910.86 / $1,464.21 / $2,190.92	Professional		$910.86	$1,464.21	$2,190.92