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 / $2,238.72 / $2,951.21	Professional		$1,905.46	$2,238.72	$2,951.21
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 $1,819.70 / $2,187.76 / $2,951.21	Professional		$1,819.70	$2,187.76	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $2,884.03	Facility		$1,698.24	$2,454.71	$2,884.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $2,951.21	Professional		$1,995.26	$2,511.89	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,311.31 / $3,311.31	Facility		$34.67	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $11,220.18	Professional		$2,238.72	$3,715.35	$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 $1,905.46 / $2,818.38 / $3,981.07	Professional		$1,905.46	$2,818.38	$3,981.07