Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.35 / $1,325.42 / $1,378.44	Facility		$1,012.35	$1,325.42	$1,378.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.36 / $1,465.08 / $1,750.95	Professional		$1,183.36	$1,465.08	$1,750.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,733.69 / $2,785.04 / $2,927.08	Facility		$1,733.69	$2,785.04	$2,927.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.63 / $1,672.70 / $1,693.61	Professional		$1,316.63	$1,672.70	$1,693.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,088.78 / $3,926.91 / $5,255.95	Facility		$2,088.78	$3,926.91	$5,255.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,785.04 / $3,759.80 / $4,598.96	Professional		$2,785.04	$3,759.80	$4,598.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $3,568.19	Facility		$2,125.02	$2,125.02	$3,568.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $2,125.02 / $14,955.35	Professional		$1,551.26	$2,125.02	$14,955.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,455.46 / $1,774.96 / $2,218.69	Professional		$1,455.46	$1,774.96	$2,218.69
United Facility/Professional Professional Modifier Low / Median / High Price $926.28 / $1,392.35 / $2,141.06	Professional		$926.28	$1,392.35	$2,141.06