Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.57 / $1,632.73 / $1,698.04	Facility		$1,171.57	$1,632.73	$1,698.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,457.75 / $1,699.85 / $2,070.78	Professional		$1,457.75	$1,699.85	$2,070.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,135.65 / $3,430.77 / $3,605.74	Facility		$2,135.65	$3,430.77	$3,605.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,604.65 / $1,935.78 / $1,947.88	Professional		$1,604.65	$1,935.78	$1,947.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,573.08 / $4,673.43 / $6,216.05	Facility		$2,573.08	$4,673.43	$6,216.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,302.28 / $4,467.78 / $5,660.77	Professional		$3,302.28	$4,467.78	$5,660.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $4,155.42	Facility		$2,561.34	$2,561.34	$4,155.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,561.34 / $17,416.64	Professional		$1,869.78	$2,561.34	$17,416.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,792.93 / $2,186.51 / $2,733.13	Professional		$1,792.93	$2,186.51	$2,733.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.05 / $1,711.57 / $2,481.69	Professional		$1,141.05	$1,711.57	$2,481.69