Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.91 / $1,396.25 / $1,452.09	Facility		$970.91	$1,396.25	$1,452.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.60 / $1,452.09 / $1,595.26	Professional		$1,246.60	$1,452.09	$1,595.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,826.32 / $2,933.85 / $3,083.48	Facility		$1,826.32	$2,933.85	$3,083.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.23 / $1,604.23 / $1,624.28	Professional		$1,372.23	$1,604.23	$1,624.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,197.15 / $2,843.24 / $4,707.57	Facility		$1,197.15	$2,843.24	$4,707.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,255.69 / $2,933.85 / $4,609.05	Professional		$1,255.69	$2,933.85	$4,609.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $3,438.11	Facility		$2,373.71	$2,373.71	$3,438.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,373.71 / $14,385.48	Professional		$2,017.65	$2,373.71	$14,385.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $403.21 / $511.39 / $614.66	Professional		$403.21	$511.39	$614.66
United Facility/Professional Professional Modifier Low / Median / High Price $975.78 / $1,463.67 / $2,007.74	Professional		$975.78	$1,463.67	$2,007.74