Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.61 / $2,117.86 / $2,202.57	Facility		$1,617.61	$2,117.86	$2,202.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,890.89 / $2,202.57 / $2,474.67	Professional		$1,890.89	$2,202.57	$2,474.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,770.22 / $4,450.14 / $4,677.10	Facility		$2,770.22	$4,450.14	$4,677.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,081.42 / $2,672.78 / $2,704.43	Professional		$2,081.42	$2,672.78	$2,704.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,337.61 / $6,274.71 / $7,342.75	Facility		$3,337.61	$6,274.71	$7,342.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,227.64 / $5,562.69 / $7,342.75	Professional		$4,227.64	$5,562.69	$7,342.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $5,755.24	Facility		$2,780.72	$2,780.72	$5,755.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,780.72 / $24,121.98	Professional		$2,029.93	$2,780.72	$24,121.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,325.65 / $2,836.17 / $3,545.21	Professional		$2,325.65	$2,836.17	$3,545.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,480.08 / $2,220.13 / $3,345.05	Professional		$1,480.08	$2,220.13	$3,345.05