Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.18 / $1,047.95 / $1,089.86	Facility		$711.18	$1,047.95	$1,089.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.64 / $1,063.11 / $1,167.33	Professional		$935.64	$1,063.11	$1,167.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,370.75 / $2,202.00 / $2,314.30	Facility		$1,370.75	$2,202.00	$2,314.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,029.92 / $1,175.08 / $1,315.88	Professional		$1,029.92	$1,175.08	$1,315.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,651.50 / $3,066.10 / $3,527.14	Facility		$1,651.50	$3,066.10	$3,527.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,091.90 / $2,737.59 / $3,633.30	Professional		$2,091.90	$2,737.59	$3,633.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $2,580.46	Facility		$1,222.54	$1,222.54	$2,580.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $1,222.54 / $10,503.84	Professional		$892.45	$1,222.54	$10,503.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,132.52 / $1,381.13 / $1,726.41	Professional		$1,132.52	$1,381.13	$1,726.41
United Facility/Professional Professional Modifier Low / Median / High Price $732.37 / $1,098.56 / $1,493.66	Professional		$732.37	$1,098.56	$1,493.66