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 $1,949.84 / $2,344.23 / $3,235.94	Professional		$1,949.84	$2,344.23	$3,235.94
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 $1,548.82 / $1,819.70 / $2,818.38	Professional		$1,548.82	$1,819.70	$2,818.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,090.30	Facility		$1,862.09	$2,570.40	$3,090.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $3,162.28	Professional		$1,862.09	$2,630.27	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,467.37 / $3,467.37	Facility		$34.67	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $10,232.93	Professional		$1,949.84	$3,162.28	$10,232.93
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 $1,737.80 / $2,398.83 / $3,981.07	Professional		$1,737.80	$2,398.83	$3,981.07