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 $2,454.71 / $2,884.03 / $3,801.89	Professional		$2,454.71	$2,884.03	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $11,220.18 / $11,748.98	Facility		$9,549.93	$11,220.18	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,235.94	Professional		$2,089.30	$2,454.71	$3,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $3,715.35	Facility		$2,187.76	$3,162.28	$3,715.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $3,801.89	Professional		$2,570.40	$3,235.94	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,265.80 / $4,265.80	Facility		$34.67	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,011.87 / $11,748.98	Professional		$2,884.03	$5,011.87	$11,748.98
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 $2,511.89 / $3,981.07 / $5,248.07	Professional		$2,511.89	$3,981.07	$5,248.07