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 / $2,238.72 / $2,951.21	Professional		$1,949.84	$2,238.72	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,715.19 / $11,220.18	Facility		$5,888.44	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,090.30	Professional		$1,862.09	$2,187.76	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $3,019.95	Facility		$1,778.28	$2,570.40	$3,019.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,090.30	Professional		$2,041.74	$2,630.27	$3,090.30
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 $2,137.96 / $3,630.78 / $12,022.64	Professional		$2,137.96	$3,630.78	$12,022.64
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 $1,778.28 / $2,630.27 / $3,981.07	Professional		$1,778.28	$2,630.27	$3,981.07