Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,380.38	Facility		$1,318.26	$1,318.26	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,290.87	Professional		$1,174.90	$1,348.96	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $2,951.21	Facility		$2,570.40	$2,818.38	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,479.11	Professional		$1,288.25	$1,479.11	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,715.35 / $4,897.79	Facility		$2,089.30	$3,715.35	$4,897.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $4,466.84	Professional		$2,754.23	$3,467.37	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $4,365.16	Facility		$1,778.28	$4,365.16	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,818.38 / $13,182.57	Professional		$1,318.26	$2,818.38	$13,182.57
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 $1,621.81 / $1,659.59 / $1,949.84	Facility		$1,621.81	$1,659.59	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $1,905.46	Professional		$933.25	$1,380.38	$1,905.46