Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,630.49 / $2,344.71 / $2,438.50	Facility		$1,630.49	$2,344.71	$2,438.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,093.42 / $2,438.50 / $2,678.71	Professional		$2,093.42	$2,438.50	$2,678.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,066.94 / $4,926.81 / $5,178.08	Facility		$3,066.94	$4,926.81	$5,178.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,304.38 / $2,694.05 / $2,694.05	Professional		$2,304.38	$2,694.05	$2,694.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,010.21 / $4,774.26 / $7,905.53	Facility		$2,010.21	$4,774.26	$7,905.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,108.71 / $4,926.81 / $7,739.38	Professional		$2,108.71	$4,926.81	$7,739.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $5,773.61	Facility		$2,802.84	$2,802.84	$5,773.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,802.84 / $24,158.08	Professional		$2,382.41	$2,802.84	$24,158.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $677.12 / $858.79 / $1,032.20	Professional		$677.12	$858.79	$1,032.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,638.62 / $2,457.94 / $3,448.38	Professional		$1,638.62	$2,457.94	$3,448.38