Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $10,471.29	Facility		$851.14	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,380.38	Professional		$812.83	$1,230.27	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,232.93 / $18,620.87	Facility		$9,332.54	$10,232.93	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $3,235.94	Professional		$2,290.87	$2,691.53	$3,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $23,988.33 / $48,977.88	Facility		$1,659.59	$23,988.33	$48,977.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $21,379.62 / $38,018.94	Professional		$1,380.38	$21,379.62	$38,018.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $1,995.26	Professional		$44.67	$44.67	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,630.27	Professional		$1,258.93	$1,778.28	$2,630.27