Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.67 / $1,099.34 / $1,143.32	Facility		$839.67	$1,099.34	$1,143.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.53 / $1,215.19 / $1,618.63	Professional		$981.53	$1,215.19	$1,618.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,437.97 / $2,309.98 / $2,427.80	Facility		$1,437.97	$2,309.98	$2,427.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,179.28 / $1,387.39 / $1,481.42	Professional		$1,179.28	$1,387.39	$1,481.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,732.49 / $3,257.09 / $4,388.97	Facility		$1,732.49	$3,257.09	$4,388.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,309.98 / $3,118.49 / $4,251.42	Professional		$2,309.98	$3,118.49	$4,251.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $2,988.26	Facility		$1,964.43	$1,964.43	$2,988.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,964.43 / $12,524.72	Professional		$1,434.03	$1,964.43	$12,524.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,207.21 / $1,472.21 / $1,840.26	Professional		$1,207.21	$1,472.21	$1,840.26
United Facility/Professional Professional Modifier Low / Median / High Price $768.29 / $1,311.95 / $1,847.99	Professional		$768.29	$1,311.95	$1,847.99