Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.09 / $1,444.51 / $1,502.29	Facility		$991.09	$1,444.51	$1,502.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.70 / $1,465.46 / $1,609.14	Professional		$1,289.70	$1,465.46	$1,609.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,889.46 / $3,035.27 / $3,190.07	Facility		$1,889.46	$3,035.27	$3,190.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,419.66 / $1,619.76 / $1,647.60	Professional		$1,419.66	$1,619.76	$1,647.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,276.44 / $4,226.50 / $4,861.82	Facility		$2,276.44	$4,226.50	$4,861.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,883.51 / $3,773.66 / $5,008.20	Professional		$2,883.51	$3,773.66	$5,008.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.91 / $1,952.91 / $3,556.96	Facility		$1,952.91	$1,952.91	$3,556.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,952.91 / $14,478.75	Professional		$1,425.62	$1,952.91	$14,478.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,561.09 / $1,903.77 / $2,379.71	Professional		$1,561.09	$1,903.77	$2,379.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.51 / $1,514.26 / $2,073.29	Professional		$1,009.51	$1,514.26	$2,073.29