Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.59 / $1,412.93 / $1,501.75	Facility		$1,358.59	$1,412.93	$1,501.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,236.77 / $1,386.41 / $1,513.42	Professional		$1,236.77	$1,386.41	$1,513.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,777.07 / $2,854.73 / $3,000.32	Facility		$1,777.07	$2,854.73	$3,000.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,280.27 / $1,523.40 / $1,705.93	Professional		$1,280.27	$1,523.40	$1,705.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,141.05 / $3,975.10 / $4,572.55	Facility		$2,141.05	$3,975.10	$4,572.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,711.99 / $3,549.20 / $4,710.30	Professional		$2,711.99	$3,549.20	$4,710.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $3,345.38	Facility		$1,584.92	$1,584.92	$3,345.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,584.92 / $13,617.37	Professional		$1,156.99	$1,584.92	$13,617.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,340.33 / $1,664.88 / $2,043.18	Professional		$1,340.33	$1,664.88	$2,043.18
United Facility/Professional Professional Modifier Low / Median / High Price $949.46 / $1,424.19 / $1,949.95	Professional		$949.46	$1,424.19	$1,949.95