Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,623.41 / $10,964.78	Facility		$851.14	$5,623.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,290.87	Professional		$977.24	$1,479.11	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,888.44 / $38,018.94	Facility		$5,370.32	$5,888.44	$38,018.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,737.80	Professional		$1,318.26	$1,548.82	$1,737.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $19,952.62 / $46,773.51	Facility		$1,380.38	$19,952.62	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $17,378.01 / $30,902.95	Professional		$1,380.38	$17,378.01	$30,902.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $3,715.35	Professional		$1,778.28	$2,754.23	$3,715.35