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 $2,630.27 / $3,090.30 / $4,073.80	Professional		$2,630.27	$3,090.30	$4,073.80
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 $1,949.84 / $2,290.87 / $3,715.35	Professional		$1,949.84	$2,290.87	$3,715.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $4,073.80	Facility		$2,344.23	$3,388.44	$4,073.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $4,168.69	Professional		$2,511.89	$3,467.37	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,570.88 / $4,570.88	Facility		$34.67	$4,570.88	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $12,589.25	Professional		$2,511.89	$4,897.79	$12,589.25
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 $2,187.76 / $2,951.21 / $5,495.41	Professional		$2,187.76	$2,951.21	$5,495.41