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 $1,905.46 / $2,089.30 / $2,818.38	Professional		$1,905.46	$2,089.30	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,715.19 / $11,220.18	Facility		$6,760.83	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,818.38	Professional		$1,698.24	$1,995.26	$2,818.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $2,754.23	Facility		$1,621.81	$2,344.23	$2,754.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,818.38	Professional		$1,862.09	$2,398.83	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,162.28 / $3,162.28	Facility		$34.67	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $11,481.54	Professional		$2,137.96	$3,467.37	$11,481.54
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 $1,819.70 / $2,630.27 / $3,715.35	Professional		$1,819.70	$2,630.27	$3,715.35