Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.70 / $2,117.81 / $2,202.52	Facility		$1,472.70	$2,117.81	$2,202.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,890.84 / $2,202.52 / $2,419.48	Professional		$1,890.84	$2,202.52	$2,419.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,770.16 / $4,450.05 / $4,677.00	Facility		$2,770.16	$4,450.05	$4,677.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,081.38 / $2,433.34 / $2,478.96	Professional		$2,081.38	$2,433.34	$2,478.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,815.71 / $4,312.29 / $7,140.56	Facility		$1,815.71	$4,312.29	$7,140.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,904.60 / $4,450.05 / $6,990.41	Professional		$1,904.60	$4,450.05	$6,990.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $5,214.89	Facility		$3,600.52	$3,600.52	$5,214.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,600.52 / $21,820.33	Professional		$3,060.44	$3,600.52	$21,820.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $611.58 / $775.67 / $932.30	Professional		$611.58	$775.67	$932.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,480.05 / $2,220.08 / $3,114.68	Professional		$1,480.05	$2,220.08	$3,114.68