Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.91 / $1,890.90 / $1,966.53	Facility		$1,314.91	$1,890.90	$1,966.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,688.25 / $1,966.53 / $2,160.23	Professional		$1,688.25	$1,966.53	$2,160.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,473.34 / $3,973.24 / $4,175.88	Facility		$2,473.34	$3,973.24	$4,175.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,858.37 / $2,172.63 / $2,199.78	Professional		$1,858.37	$2,172.63	$2,199.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.17 / $3,850.24 / $6,375.39	Facility		$1,621.17	$3,850.24	$6,375.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,700.54 / $3,973.24 / $6,241.42	Professional		$1,700.54	$3,973.24	$6,241.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $4,656.14	Facility		$3,214.74	$3,214.74	$4,656.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $3,214.74 / $19,482.39	Professional		$2,732.53	$3,214.74	$19,482.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $546.06 / $692.56 / $832.41	Professional		$546.06	$692.56	$832.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.47 / $1,982.21 / $2,780.96	Professional		$1,321.47	$1,982.21	$2,780.96