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 $1,862.09 / $2,238.72 / $3,019.95	Professional		$1,862.09	$2,238.72	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,715.19 / $15,135.61	Facility		$8,511.38	$10,715.19	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,754.23	Professional		$1,479.11	$1,737.80	$2,754.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $2,951.21	Facility		$1,819.70	$2,511.89	$2,951.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,019.95	Professional		$1,819.70	$2,570.40	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,162.28 / $3,388.44	Facility		$34.67	$3,162.28	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $9,332.54	Professional		$1,905.46	$3,235.94	$9,332.54
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 $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 $1,659.59 / $2,398.83 / $3,801.89	Professional		$1,659.59	$2,398.83	$3,801.89