Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.62 / $1,166.04 / $1,212.68	Facility		$890.62	$1,166.04	$1,212.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.07 / $1,288.90 / $1,712.40	Professional		$1,041.07	$1,288.90	$1,712.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.21 / $2,450.14 / $2,575.10	Facility		$1,525.21	$2,450.14	$2,575.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.82 / $1,471.56 / $1,609.55	Professional		$1,250.82	$1,471.56	$1,609.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,837.61 / $3,454.70 / $4,655.27	Facility		$1,837.61	$3,454.70	$4,655.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,450.14 / $3,307.69 / $4,497.72	Professional		$2,450.14	$3,307.69	$4,497.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $3,206.42	Facility		$1,787.17	$1,787.17	$3,206.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,787.17 / $13,439.08	Professional		$1,304.63	$1,787.17	$13,439.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,280.45 / $1,561.53 / $1,951.91	Professional		$1,280.45	$1,561.53	$1,951.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $814.90 / $1,309.95 / $1,960.11	Professional		$814.90	$1,309.95	$1,960.11