Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.43 / $929.15 / $942.69	Facility		$906.43	$929.15	$942.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.16 / $1,001.95 / $1,278.23	Professional		$825.16	$1,001.95	$1,278.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.64 / $1,904.64 / $2,001.78	Facility		$1,185.64	$1,904.64	$2,001.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.16 / $1,143.94 / $1,201.45	Professional		$961.16	$1,143.94	$1,201.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,428.48 / $2,685.54 / $3,618.82	Facility		$1,428.48	$2,685.54	$3,618.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,904.64 / $2,571.26 / $3,357.35	Professional		$1,904.64	$2,571.26	$3,357.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $2,431.35	Facility		$1,551.30	$1,551.30	$2,431.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,551.30 / $10,190.54	Professional		$1,132.45	$1,551.30	$10,190.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,258.09 / $1,534.26 / $1,917.82	Professional		$1,258.09	$1,534.26	$1,917.82
United Facility/Professional Professional Modifier Low / Median / High Price $633.47 / $950.20 / $1,464.24	Professional		$633.47	$950.20	$1,464.24