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 $1,584.89 / $1,737.80 / $2,818.38	Professional		$1,584.89	$1,737.80	$2,818.38
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 $1,412.54 / $1,659.59 / $2,630.27	Professional		$1,412.54	$1,659.59	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $2,290.87	Facility		$1,348.96	$1,949.84	$2,290.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $2,344.23	Professional		$1,288.25	$1,995.26	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,630.27 / $2,630.27	Facility		$34.67	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $9,772.37	Professional		$1,778.28	$2,951.21	$9,772.37
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 $1,513.56 / $2,187.76 / $3,162.28	Professional		$1,513.56	$2,187.76	$3,162.28