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 $2,398.83 / $2,754.23 / $3,630.78	Professional		$2,398.83	$2,754.23	$3,630.78
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 $1,737.80 / $2,041.74 / $3,467.37	Professional		$1,737.80	$2,041.74	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $3,630.78	Facility		$2,137.96	$3,019.95	$3,630.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $3,715.35	Professional		$2,041.74	$3,162.28	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,168.69 / $4,168.69	Facility		$34.67	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $12,022.64	Professional		$2,344.23	$4,365.16	$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 $1,995.26 / $2,884.03 / $4,897.79	Professional		$1,995.26	$2,884.03	$4,897.79