Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.20 / $1,218.04 / $1,294.59	Facility		$1,171.20	$1,218.04	$1,294.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.18 / $1,195.16 / $1,304.66	Professional		$1,066.18	$1,195.16	$1,304.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,531.95 / $2,460.96 / $2,586.48	Facility		$1,531.95	$2,460.96	$2,586.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.68 / $1,313.28 / $1,335.86	Professional		$1,103.68	$1,313.28	$1,335.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,845.73 / $3,426.77 / $3,941.90	Facility		$1,845.73	$3,426.77	$3,941.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,337.92 / $3,059.61 / $4,060.60	Professional		$2,337.92	$3,059.61	$4,060.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $2,883.95	Facility		$1,366.32	$1,366.32	$2,883.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $1,366.32 / $11,751.40	Professional		$997.41	$1,366.32	$11,751.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,155.45 / $1,435.24 / $1,761.36	Professional		$1,155.45	$1,435.24	$1,761.36
United Facility/Professional Professional Modifier Low / Median / High Price $818.50 / $1,227.75 / $1,681.00	Professional		$818.50	$1,227.75	$1,681.00