Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.97 / $1,610.33 / $1,674.74	Facility		$1,229.97	$1,610.33	$1,674.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,437.75 / $1,747.49 / $1,957.19	Professional		$1,437.75	$1,747.49	$1,957.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,106.35 / $3,383.69 / $3,556.26	Facility		$2,106.35	$3,383.69	$3,556.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,582.62 / $2,032.26 / $2,067.19	Professional		$1,582.62	$2,032.26	$2,067.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,537.77 / $4,771.00 / $5,875.06	Facility		$2,537.77	$4,771.00	$5,875.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,214.51 / $4,229.60 / $5,583.09	Professional		$3,214.51	$4,229.60	$5,583.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $4,137.43	Facility		$2,375.33	$2,375.33	$4,137.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $2,375.33 / $17,341.25	Professional		$1,733.99	$2,375.33	$17,341.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,768.33 / $2,156.50 / $2,695.62	Professional		$1,768.33	$2,156.50	$2,695.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,125.39 / $1,744.44 / $2,583.23	Professional		$1,125.39	$1,744.44	$2,583.23