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 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $3,019.95	Professional		$1,778.28	$2,041.74	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,715.19 / $16,982.44	Facility		$6,760.83	$10,715.19	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,019.95	Professional		$1,905.46	$2,238.72	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $3,235.94	Facility		$1,949.84	$2,691.53	$3,235.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,311.31	Professional		$1,995.26	$2,691.53	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,630.78 / $3,630.78	Facility		$34.67	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $12,589.25	Professional		$2,238.72	$3,715.35	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $4,073.80	Professional		$1,862.09	$2,511.89	$4,073.80