Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.91 / $1,639.89 / $1,705.49	Facility		$1,112.91	$1,639.89	$1,705.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.14 / $1,663.70 / $1,826.80	Professional		$1,464.14	$1,663.70	$1,826.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,145.02 / $3,445.81 / $3,621.55	Facility		$2,145.02	$3,445.81	$3,621.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,611.69 / $1,838.86 / $1,838.86	Professional		$1,611.69	$1,838.86	$1,838.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,584.36 / $4,798.22 / $5,519.46	Facility		$2,584.36	$4,798.22	$5,519.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,273.52 / $4,284.13 / $5,685.59	Professional		$3,273.52	$4,284.13	$5,685.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $4,038.06	Facility		$2,217.07	$2,217.07	$4,038.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $2,217.07 / $16,498.04	Professional		$1,618.46	$2,217.07	$16,498.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,800.80 / $2,196.10 / $2,745.12	Professional		$1,800.80	$2,196.10	$2,745.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,018.42 / $2,018.42 / $2,353.73	Facility		$2,018.42	$2,018.42	$2,353.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.06 / $1,719.08 / $2,341.57	Professional		$1,146.06	$1,719.08	$2,341.57