Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.82 / $1,452.09 / $1,510.17	Facility		$831.82	$1,452.09	$1,510.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.65 / $1,272.55 / $1,510.17	Professional		$1,123.65	$1,272.55	$1,510.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,899.37 / $3,051.19 / $3,206.80	Facility		$1,899.37	$3,051.19	$3,206.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.99 / $1,374.42 / $1,427.10	Professional		$1,289.99	$1,374.42	$1,427.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,288.39 / $3,604.76 / $4,424.22	Facility		$2,288.39	$3,604.76	$4,424.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,710.55 / $3,661.43 / $5,034.46	Professional		$2,710.55	$3,661.43	$5,034.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $3,575.62	Facility		$1,665.63	$1,665.63	$3,575.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,665.63 / $12,496.52	Professional		$1,215.91	$1,665.63	$12,496.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,594.56 / $1,944.59 / $2,430.73	Professional		$1,594.56	$1,944.59	$2,430.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.80 / $1,508.63 / $1,902.76	Professional		$1,014.80	$1,508.63	$1,902.76