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 $1,698.24 / $1,862.09 / $2,511.89	Professional		$1,698.24	$1,862.09	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $11,220.18 / $11,748.98	Facility		$9,549.93	$11,220.18	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,754.23	Professional		$1,513.56	$1,778.28	$2,754.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,454.71	Facility		$1,445.44	$2,089.30	$2,454.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,511.89	Professional		$1,513.56	$2,137.96	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,818.38 / $2,818.38	Facility		$34.67	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $10,000.00	Professional		$1,949.84	$3,235.94	$10,000.00
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 $1,621.81 / $2,344.23 / $3,311.31	Professional		$1,621.81	$2,344.23	$3,311.31