Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.55 / $1,014.15 / $1,054.72	Facility		$640.55	$1,014.15	$1,054.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.46 / $1,054.72 / $1,235.05	Professional		$905.46	$1,054.72	$1,235.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,326.54 / $2,130.98 / $2,239.66	Facility		$1,326.54	$2,130.98	$2,239.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $996.70 / $1,058.39 / $1,160.86	Professional		$996.70	$1,058.39	$1,160.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,598.24 / $2,876.82 / $3,707.34	Facility		$1,598.24	$2,876.82	$3,707.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,024.43 / $2,664.65 / $3,516.12	Professional		$2,024.43	$2,664.65	$3,516.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $2,497.25	Facility		$1,498.90	$1,498.90	$2,497.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,498.90 / $9,802.10	Professional		$1,094.20	$1,498.90	$9,802.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,113.65 / $1,358.12 / $1,697.65	Professional		$1,113.65	$1,358.12	$1,697.65
United Facility/Professional Professional Modifier Low / Median / High Price $708.75 / $1,063.11 / $1,404.86	Professional		$708.75	$1,063.11	$1,404.86