Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.10 / $1,770.74 / $1,841.56	Facility		$1,345.10	$1,770.74	$1,841.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,580.96 / $1,951.62 / $2,288.40	Professional		$1,580.96	$1,951.62	$2,288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,316.17 / $3,720.76 / $3,910.52	Facility		$2,316.17	$3,720.76	$3,910.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,740.27 / $2,222.50 / $2,260.71	Professional		$1,740.27	$2,222.50	$2,260.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,790.57 / $5,246.27 / $6,869.26	Facility		$2,790.57	$5,246.27	$6,869.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,649.30 / $4,937.28 / $6,139.25	Professional		$3,649.30	$4,937.28	$6,139.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $4,782.93	Facility		$2,717.61	$2,717.61	$4,782.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $2,717.61 / $20,046.72	Professional		$1,983.86	$2,717.61	$20,046.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,944.47 / $2,371.31 / $2,964.13	Professional		$1,944.47	$2,371.31	$2,964.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.49 / $1,856.24 / $2,825.05	Professional		$1,237.49	$1,856.24	$2,825.05