Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.78 / $1,034.57 / $1,034.57	Facility		$994.78	$1,034.57	$1,034.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.58 / $1,015.14 / $1,599.54	Professional		$905.58	$1,015.14	$1,599.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,301.20 / $2,090.28 / $2,196.88	Facility		$1,301.20	$2,090.28	$2,196.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.78 / $1,727.58 / $2,546.78	Professional		$1,612.78	$1,727.58	$2,546.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,567.71 / $2,910.60 / $3,348.10	Facility		$1,567.71	$2,910.60	$3,348.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,985.77 / $2,598.75 / $3,448.96	Professional		$1,985.77	$2,598.75	$3,448.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $2,449.55	Facility		$1,650.90	$1,650.90	$2,449.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,650.90 / $9,973.16	Professional		$1,403.27	$1,650.90	$9,973.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,380.70 / $1,683.79 / $2,104.73	Professional		$1,380.70	$1,683.79	$2,104.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.69 / $1,224.69 / $2,211.31	Facility		$1,224.69	$1,224.69	$2,211.31
United Facility/Professional Professional Modifier Low / Median / High Price $695.21 / $1,389.87 / $2,161.65	Professional		$695.21	$1,389.87	$2,161.65