Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,737.80	Facility		$1,659.59	$1,659.59	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,951.21	Professional		$1,513.56	$2,041.74	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,548.13 / $3,715.35	Facility		$3,235.94	$3,548.13	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,137.96	Professional		$1,621.81	$2,041.74	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $6,165.95	Facility		$2,630.27	$4,677.35	$6,165.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $5,623.41	Professional		$3,467.37	$4,365.16	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,025.60 / $6,025.60	Facility		$2,754.23	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $18,197.01	Professional		$2,041.74	$3,235.94	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,019.95	Professional		$1,819.70	$2,344.23	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $2,630.27	Facility		$1,659.59	$2,238.72	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $2,630.27	Professional		$1,174.90	$1,862.09	$2,630.27