Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Facility		$1,047.13	$1,047.13	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,819.70	Professional		$933.25	$1,071.52	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $2,344.23	Facility		$2,041.74	$2,238.72	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,318.26	Professional		$1,023.29	$1,174.90	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $3,890.45	Facility		$1,659.59	$2,951.21	$3,890.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,548.13	Professional		$2,187.76	$2,754.23	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,467.37 / $3,467.37	Facility		$1,230.27	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,862.09 / $10,471.29	Professional		$891.25	$1,862.09	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,862.09	Professional		$1,122.02	$1,445.44	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,548.82	Facility		$1,288.25	$1,288.25	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,513.56	Professional		$724.44	$1,096.48	$1,513.56