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 $1,258.93 / $1,479.11 / $1,905.46	Professional		$1,258.93	$1,479.11	$1,905.46
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 $1,202.26 / $1,412.54 / $1,995.26	Professional		$1,202.26	$1,412.54	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $1,995.26	Facility		$1,174.90	$1,659.59	$1,995.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $1,995.26	Professional		$1,348.96	$1,698.24	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $2,238.72	Facility		$34.67	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $8,128.31	Professional		$1,380.38	$2,238.72	$8,128.31
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 $1,148.15 / $1,698.24 / $2,570.40	Professional		$1,148.15	$1,698.24	$2,570.40