Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.08 / $1,512.31 / $1,572.80	Facility		$1,155.08	$1,512.31	$1,572.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.24 / $1,777.13 / $2,040.24	Professional		$1,350.24	$1,777.13	$2,040.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,978.14 / $3,177.74 / $3,339.80	Facility		$1,978.14	$3,177.74	$3,339.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,534.15 / $1,908.56 / $1,932.42	Professional		$1,534.15	$1,908.56	$1,932.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,383.31 / $4,480.60 / $6,037.71	Facility		$2,383.31	$4,480.60	$6,037.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,177.74 / $4,289.95 / $5,358.81	Professional		$3,177.74	$4,289.95	$5,358.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $4,129.04	Facility		$2,476.09	$2,476.09	$4,129.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $2,476.09 / $17,306.07	Professional		$1,807.55	$2,476.09	$17,306.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,660.69 / $2,025.24 / $2,531.55	Professional		$1,660.69	$2,025.24	$2,531.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.89 / $1,724.20 / $2,445.06	Professional		$1,056.89	$1,724.20	$2,445.06