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 / $9,772.37	Facility		$851.14	$2,818.38	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $3,235.94	Professional		$1,513.56	$1,778.28	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,715.19 / $11,220.18	Facility		$8,511.38	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,454.71	Professional		$1,380.38	$1,698.24	$2,454.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,570.40	Facility		$1,621.81	$2,137.96	$2,570.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $2,630.27	Professional		$1,737.80	$2,137.96	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,951.21 / $2,951.21	Facility		$34.67	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $10,232.93	Professional		$1,778.28	$2,951.21	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,288.25	Professional		$32.36	$33.11	$1,288.25
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 $1,479.11 / $2,041.74 / $3,467.37	Professional		$1,479.11	$2,041.74	$3,467.37