Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.67 / $1,791.34 / $1,862.99	Facility		$1,215.67	$1,791.34	$1,862.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,599.35 / $1,817.31 / $1,995.48	Professional		$1,599.35	$1,817.31	$1,995.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,343.12 / $3,764.05 / $3,956.02	Facility		$2,343.12	$3,764.05	$3,956.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,760.51 / $2,008.64 / $2,249.31	Professional		$1,760.51	$2,008.64	$2,249.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,823.04 / $5,241.24 / $6,029.08	Facility		$2,823.04	$5,241.24	$6,029.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,575.85 / $4,679.68 / $6,210.68	Professional		$3,575.85	$4,679.68	$6,210.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $4,411.00	Facility		$2,264.80	$2,264.80	$4,411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $2,264.80 / $17,954.93	Professional		$1,653.30	$2,264.80	$17,954.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,935.88 / $2,360.84 / $2,951.05	Professional		$1,935.88	$2,360.84	$2,951.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,251.89 / $1,877.84 / $2,513.88	Professional		$1,251.89	$1,877.84	$2,513.88