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 / $9,120.11	Facility		$851.14	$2,818.38	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $3,090.30	Professional		$1,258.93	$1,445.44	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $11,220.18	Facility		$8,912.51	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,949.84	Professional		$1,148.15	$1,380.38	$1,949.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,238.72	Facility		$1,288.25	$1,737.80	$2,238.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,137.96	Professional		$1,412.54	$1,737.80	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,344.23 / $2,344.23	Facility		$34.67	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $7,244.36	Professional		$1,412.54	$2,344.23	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
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 $1,230.27 / $1,698.24 / $2,818.38	Professional		$1,230.27	$1,698.24	$2,818.38