Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.89 / $1,358.86 / $1,413.21	Facility		$1,037.89	$1,358.86	$1,413.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.22 / $1,502.04 / $1,936.73	Professional		$1,213.22	$1,502.04	$1,936.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,777.42 / $2,855.29 / $3,000.91	Facility		$1,777.42	$2,855.29	$3,000.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,456.33 / $1,714.90 / $1,820.41	Professional		$1,456.33	$1,714.90	$1,820.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,141.46 / $4,025.96 / $5,425.05	Facility		$2,141.46	$4,025.96	$5,425.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,855.29 / $3,854.64 / $5,086.93	Professional		$2,855.29	$3,854.64	$5,086.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $3,742.58	Facility		$1,784.15	$1,784.15	$3,742.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,784.15 / $15,686.30	Professional		$1,302.43	$1,784.15	$15,686.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,492.17 / $1,819.73 / $2,274.66	Professional		$1,492.17	$1,819.73	$2,274.66
United Facility/Professional Professional Modifier Low / Median / High Price $949.65 / $1,526.56 / $2,284.23	Professional		$949.65	$1,526.56	$2,284.23