Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.13 / $1,204.01 / $1,252.17	Facility		$886.13	$1,204.01	$1,252.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.97 / $1,406.83 / $1,575.65	Professional		$1,074.97	$1,406.83	$1,575.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,574.88 / $2,529.92 / $2,658.96	Facility		$1,574.88	$2,529.92	$2,658.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,184.81 / $1,464.14 / $1,489.31	Professional		$1,184.81	$1,464.14	$1,489.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,897.45 / $3,567.20 / $4,794.18	Facility		$1,897.45	$3,567.20	$4,794.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,512.69 / $3,399.52 / $4,174.38	Professional		$2,512.69	$3,399.52	$4,174.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $3,138.26	Facility		$1,523.27	$1,523.27	$3,138.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,523.27 / $13,153.39	Professional		$1,111.99	$1,523.27	$13,153.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,322.15 / $1,612.38 / $2,015.47	Professional		$1,322.15	$1,612.38	$2,015.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $841.43 / $1,262.15 / $1,874.10	Professional		$841.43	$1,262.15	$1,874.10