Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.11 / $1,153.94 / $1,200.08	Facility		$783.11	$1,153.94	$1,200.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.27 / $1,170.67 / $1,285.45	Professional		$1,030.27	$1,170.67	$1,285.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,509.38 / $2,424.69 / $2,548.36	Facility		$1,509.38	$2,424.69	$2,548.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.08 / $1,293.94 / $1,448.96	Professional		$1,134.08	$1,293.94	$1,448.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,818.53 / $3,376.30 / $3,883.87	Facility		$1,818.53	$3,376.30	$3,883.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,303.46 / $3,014.55 / $4,000.76	Professional		$2,303.46	$3,014.55	$4,000.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $2,841.44	Facility		$1,346.19	$1,346.19	$2,841.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $1,346.19 / $11,609.07	Professional		$982.72	$1,346.19	$11,609.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,267.15 / $1,545.31 / $1,931.63	Professional		$1,267.15	$1,545.31	$1,931.63
United Facility/Professional Professional Modifier Low / Median / High Price $806.44 / $1,209.66 / $1,656.24	Professional		$806.44	$1,209.66	$1,656.24