Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,307.17 / $1,345.34 / $1,399.15	Facility		$1,307.17	$1,345.34	$1,399.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.71 / $1,413.20 / $1,748.91	Professional		$1,224.71	$1,413.20	$1,748.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.75 / $2,826.90 / $2,971.07	Facility		$1,759.75	$2,826.90	$2,971.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,322.19 / $1,609.35 / $1,643.87	Professional		$1,322.19	$1,609.35	$1,643.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,120.17 / $3,885.36 / $5,249.84	Facility		$2,120.17	$3,885.36	$5,249.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,788.98 / $3,773.32 / $4,664.39	Professional		$2,788.98	$3,773.32	$4,664.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $3,461.73	Facility		$2,283.76	$2,283.76	$3,461.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $2,283.76 / $14,509.16	Professional		$1,667.14	$2,283.76	$14,509.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $940.20 / $1,410.31 / $2,059.96	Professional		$940.20	$1,410.31	$2,059.96