Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.93 / $1,512.73 / $1,573.23	Facility		$1,051.93	$1,512.73	$1,573.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.60 / $1,573.23 / $1,728.22	Professional		$1,350.60	$1,573.23	$1,728.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,978.68 / $3,178.61 / $3,340.72	Facility		$1,978.68	$3,178.61	$3,340.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,486.70 / $1,738.10 / $1,738.10	Professional		$1,486.70	$1,738.10	$1,738.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,296.95 / $3,080.20 / $5,100.35	Facility		$1,296.95	$3,080.20	$5,100.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,360.41 / $3,178.61 / $4,993.18	Professional		$1,360.41	$3,178.61	$4,993.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $3,724.93	Facility		$1,808.29	$1,808.29	$3,724.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,765.39 / $15,585.90	Professional		$1,537.05	$1,765.39	$15,585.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.84 / $554.04 / $665.92	Professional		$436.84	$554.04	$665.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.18 / $1,585.77 / $2,224.76	Professional		$1,057.18	$1,585.77	$2,224.76