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 $1,737.80 / $1,995.26 / $2,691.53	Professional		$1,737.80	$1,995.26	$2,691.53
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 $1,698.24 / $1,995.26 / $2,691.53	Professional		$1,698.24	$1,995.26	$2,691.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,630.27	Facility		$1,513.56	$2,187.76	$2,630.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $2,691.53	Professional		$1,479.11	$2,238.72	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,398.83 / $2,951.21	Facility		$34.67	$2,398.83	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $11,481.54	Professional		$2,041.74	$3,467.37	$11,481.54
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 $1,737.80 / $2,570.40 / $3,715.35	Professional		$1,737.80	$2,570.40	$3,715.35