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 $1,819.70 / $2,041.74 / $2,691.53	Professional		$1,819.70	$2,041.74	$2,691.53
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 $1,659.59 / $1,949.84 / $3,019.95	Professional		$1,659.59	$1,949.84	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $2,691.53	Facility		$1,548.82	$2,238.72	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,691.53	Professional		$1,819.70	$2,290.87	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,019.95 / $3,019.95	Facility		$34.67	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $17,378.01	Professional		$2,041.74	$3,467.37	$17,378.01
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 $1,737.80 / $2,630.27 / $3,630.78	Professional		$1,737.80	$2,630.27	$3,630.78