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 $1,412.54 / $1,584.89 / $2,089.30	Professional		$1,412.54	$1,584.89	$2,089.30
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 $1,288.25 / $1,548.82 / $2,570.40	Professional		$1,288.25	$1,548.82	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,089.30	Facility		$1,230.27	$1,737.80	$2,089.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,137.96	Professional		$1,174.90	$1,778.28	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,344.23 / $2,344.23	Facility		$34.67	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $9,332.54	Professional		$1,584.89	$2,630.27	$9,332.54
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 $1,348.96 / $1,995.26 / $2,818.38	Professional		$1,348.96	$1,995.26	$2,818.38