Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.71 / $1,268.78 / $1,319.53	Facility		$821.71	$1,268.78	$1,319.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.80 / $1,285.35 / $1,439.60	Professional		$1,132.80	$1,285.35	$1,439.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.60 / $2,666.02 / $2,801.99	Facility		$1,659.60	$2,666.02	$2,801.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.95 / $1,357.71 / $1,381.04	Professional		$1,246.95	$1,357.71	$1,381.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,999.52 / $3,599.13 / $4,321.35	Facility		$1,999.52	$3,599.13	$4,321.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,532.71 / $3,332.53 / $4,398.93	Professional		$2,532.71	$3,332.53	$4,398.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $3,124.25	Facility		$1,747.16	$1,747.16	$3,124.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,747.16 / $12,102.44	Professional		$1,275.43	$1,747.16	$12,102.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,393.26 / $1,699.10 / $2,123.87	Professional		$1,393.26	$1,699.10	$2,123.87
United Facility/Professional Professional Modifier Low / Median / High Price $886.70 / $1,330.05 / $1,757.58	Professional		$886.70	$1,330.05	$1,757.58