Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.77 / $1,085.07 / $1,128.47	Facility		$828.77	$1,085.07	$1,128.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.78 / $1,199.41 / $1,599.49	Professional		$968.78	$1,199.41	$1,599.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,419.30 / $2,280.00 / $2,396.28	Facility		$1,419.30	$2,280.00	$2,396.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,163.97 / $1,369.38 / $1,503.43	Professional		$1,163.97	$1,369.38	$1,503.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,710.00 / $3,214.80 / $4,332.00	Facility		$1,710.00	$3,214.80	$4,332.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,280.00 / $3,078.00 / $4,201.14	Professional		$2,280.00	$3,078.00	$4,201.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $2,975.18	Facility		$1,424.68	$1,424.68	$2,975.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,424.68 / $12,469.87	Professional		$1,040.02	$1,424.68	$12,469.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,191.54 / $1,453.10 / $1,816.37	Professional		$1,191.54	$1,453.10	$1,816.37
United Facility/Professional Professional Modifier Low / Median / High Price $758.31 / $1,175.44 / $1,824.00	Professional		$758.31	$1,175.44	$1,824.00