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 $977.24 / $2,290.87 / $2,818.38	Professional		$977.24	$2,290.87	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,715.19 / $11,220.18	Facility		$6,760.83	$10,715.19	$11,220.18
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 $1,737.80 / $2,454.71 / $2,884.03	Facility		$1,737.80	$2,454.71	$2,884.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $2,951.21	Professional		$1,737.80	$2,511.89	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,311.31 / $3,311.31	Facility		$34.67	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $9,772.37 / $9,772.37	Professional		$2,137.96	$9,772.37	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $100.00	Professional		$44.67	$44.67	$100.00
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 $1,513.56 / $2,290.87 / $3,019.95	Professional		$1,513.56	$2,290.87	$3,019.95