Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.99 / $1,355.77 / $1,410.00	Facility		$892.99	$1,355.77	$1,410.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.47 / $1,410.00 / $1,615.60	Professional		$1,210.47	$1,410.00	$1,615.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,773.38 / $2,848.81 / $2,994.10	Facility		$1,773.38	$2,848.81	$2,994.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,332.44 / $1,475.48 / $1,518.57	Professional		$1,332.44	$1,475.48	$1,518.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,136.61 / $3,879.91 / $4,849.68	Facility		$2,136.61	$3,879.91	$4,849.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,706.37 / $3,561.01 / $4,700.54	Professional		$2,706.37	$3,561.01	$4,700.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $3,338.45	Facility		$1,960.76	$1,960.76	$3,338.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,960.76 / $13,237.74	Professional		$1,431.35	$1,960.76	$13,237.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,488.79 / $1,815.60 / $2,269.50	Professional		$1,488.79	$1,815.60	$2,269.50
United Facility/Professional Professional Modifier Low / Median / High Price $947.49 / $1,421.24 / $1,936.17	Professional		$947.49	$1,421.24	$1,936.17