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 $1,778.28 / $1,995.26 / $2,630.27	Professional		$1,778.28	$1,995.26	$2,630.27
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 $1,621.81 / $1,905.46 / $3,090.30	Professional		$1,621.81	$1,905.46	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,570.40	Facility		$1,513.56	$2,187.76	$2,570.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $2,630.27	Professional		$1,584.89	$2,238.72	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,951.21 / $2,951.21	Facility		$34.67	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $11,220.18	Professional		$1,995.26	$3,311.31	$11,220.18
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 $1,698.24 / $2,570.40 / $3,548.13	Professional		$1,698.24	$2,570.40	$3,548.13