Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.58 / $1,003.79 / $1,043.94	Facility		$745.58	$1,003.79	$1,043.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.21 / $1,081.77 / $1,349.05	Professional		$896.21	$1,081.77	$1,349.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.98 / $2,109.21 / $2,216.78	Facility		$1,312.98	$2,109.21	$2,216.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.43 / $1,231.94 / $1,268.04	Professional		$1,014.43	$1,231.94	$1,268.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,581.91 / $2,973.99 / $4,007.50	Facility		$1,581.91	$2,973.99	$4,007.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,109.21 / $2,847.43 / $3,543.36	Professional		$2,109.21	$2,847.43	$3,543.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.27 / $1,637.27 / $2,616.54	Facility		$1,637.27	$1,637.27	$2,616.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,637.27 / $10,966.71	Professional		$1,195.21	$1,637.27	$10,966.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,102.29 / $1,344.26 / $1,680.32	Professional		$1,102.29	$1,344.26	$1,680.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,366.91 / $1,366.91 / $1,366.91	Facility		$1,366.91	$1,366.91	$1,366.91
United Facility/Professional Professional Modifier Low / Median / High Price $701.51 / $1,127.67 / $1,616.74	Professional		$701.51	$1,127.67	$1,616.74