Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,548.82	Facility		$1,479.11	$1,479.11	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,754.23	Professional		$1,348.96	$1,819.70	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,162.28 / $3,311.31	Facility		$2,884.03	$3,162.28	$3,311.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $1,905.46	Professional		$1,445.44	$1,862.09	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,168.69 / $5,495.41	Facility		$2,344.23	$4,168.69	$5,495.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $5,011.87	Professional		$3,090.30	$3,890.45	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,623.41 / $5,623.41	Facility		$2,454.71	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $16,982.44	Professional		$1,819.70	$2,630.27	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,691.53	Professional		$1,621.81	$2,089.30	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,398.83	Facility		$2,041.74	$2,089.30	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $2,398.83	Professional		$1,023.29	$1,659.59	$2,398.83