Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,698.24	Facility		$1,621.81	$1,621.81	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,951.21	Professional		$1,445.44	$1,862.09	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $3,715.35	Facility		$3,162.28	$3,467.37	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $1,995.26	Professional		$1,621.81	$1,949.84	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,025.60	Facility		$2,570.40	$4,677.35	$6,025.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $5,495.41	Professional		$3,467.37	$4,265.80	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,754.40 / $5,754.40	Facility		$2,570.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $17,378.01	Professional		$1,862.09	$2,884.03	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,951.21	Professional		$1,778.28	$2,290.87	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,454.71	Facility		$1,513.56	$2,137.96	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,454.71	Professional		$1,148.15	$1,737.80	$2,454.71