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 $1,862.09 / $2,187.76 / $2,754.23	Professional		$1,862.09	$2,187.76	$2,754.23
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 $1,621.81 / $1,949.84 / $3,090.30	Professional		$1,621.81	$1,949.84	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,754.23	Facility		$1,621.81	$2,290.87	$2,754.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,818.38	Professional		$1,862.09	$2,398.83	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,090.30 / $3,090.30	Facility		$34.67	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $18,197.01	Professional		$2,187.76	$3,630.78	$18,197.01
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 $1,819.70 / $2,630.27 / $3,801.89	Professional		$1,819.70	$2,630.27	$3,801.89