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 / $1,862.09 / $1,905.46	Professional		$1,862.09	$1,862.09	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,715.19 / $11,220.18	Facility		$9,120.11	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,162.28	Professional		$1,905.46	$2,344.23	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $4,897.79	Facility		$3,090.30	$3,630.78	$4,897.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,090.30	Professional		$1,949.84	$2,630.27	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Professional		$11,748.98	$11,748.98	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,398.83	Professional		$1,445.44	$1,905.46	$2,398.83
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