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 $1,819.70 / $1,862.09 / $1,862.09	Professional		$1,819.70	$1,862.09	$1,862.09
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 $1,584.89 / $1,905.46 / $2,630.27	Professional		$1,584.89	$1,905.46	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,623.41 / $7,762.47	Facility		$4,897.79	$5,623.41	$7,762.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $4,897.79	Professional		$3,019.95	$4,073.80	$4,897.79
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 $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $3,715.35	Professional		$2,238.72	$3,019.95	$3,715.35
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