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 $1,659.59 / $1,905.46 / $2,454.71	Professional		$1,659.59	$1,905.46	$2,454.71
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 $1,995.26 / $2,344.23 / $2,630.27	Professional		$1,995.26	$2,344.23	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $2,691.53	Facility		$1,621.81	$2,238.72	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,754.23	Professional		$1,659.59	$2,344.23	$2,754.23
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 $1,737.80 / $7,943.28 / $7,943.28	Professional		$1,737.80	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
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 $1,174.90 / $1,819.70 / $3,162.28	Professional		$1,174.90	$1,819.70	$3,162.28