Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.82 / $1,583.53 / $1,646.87	Facility		$1,147.82	$1,583.53	$1,646.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.82 / $1,750.39 / $1,998.21	Professional		$1,413.82	$1,750.39	$1,998.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,071.29 / $3,327.38 / $3,497.08	Facility		$2,071.29	$3,327.38	$3,497.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,556.30 / $1,896.54 / $1,929.14	Professional		$1,556.30	$1,896.54	$1,929.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,495.54 / $4,691.60 / $5,998.19	Facility		$2,495.54	$4,691.60	$5,998.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,186.54 / $4,311.20 / $5,490.18	Professional		$3,186.54	$4,311.20	$5,490.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $4,025.01	Facility		$2,425.11	$2,425.11	$4,025.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $2,425.11 / $16,870.05	Professional		$1,770.33	$2,425.11	$16,870.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,738.91 / $2,120.63 / $2,650.78	Professional		$1,738.91	$2,120.63	$2,650.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.66 / $1,660.00 / $2,427.57	Professional		$1,106.66	$1,660.00	$2,427.57