Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.33 / $1,321.21 / $1,374.06	Facility		$1,203.33	$1,321.21	$1,374.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.74 / $1,340.39 / $1,471.80	Professional		$1,202.74	$1,340.39	$1,471.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,728.18 / $2,776.19 / $2,917.78	Facility		$1,728.18	$2,776.19	$2,917.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.49 / $1,481.54 / $1,487.71	Professional		$1,298.49	$1,481.54	$1,487.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,082.14 / $3,865.78 / $4,446.88	Facility		$2,082.14	$3,865.78	$4,446.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,637.38 / $3,451.59 / $4,580.71	Professional		$2,637.38	$3,451.59	$4,580.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $3,253.34	Facility		$1,786.24	$1,786.24	$3,253.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,786.24 / $13,243.00	Professional		$1,303.96	$1,786.24	$13,243.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,833.78 / $2,236.32 / $2,795.40	Professional		$1,833.78	$2,236.32	$2,795.40
United Facility/Professional Professional Modifier Low / Median / High Price $923.34 / $1,385.01 / $1,896.34	Professional		$923.34	$1,385.01	$1,896.34