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 $1,258.93 / $1,412.54 / $2,290.87	Professional		$1,258.93	$1,412.54	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $11,220.18	Facility		$8,912.51	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,819.70	Professional		$1,047.13	$1,230.27	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $1,737.80	Facility		$1,023.29	$1,479.11	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,778.28	Professional		$1,096.48	$1,513.56	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,995.26 / $1,995.26	Facility		$34.67	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $7,585.78	Professional		$1,445.44	$2,398.83	$7,585.78
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 $1,230.27 / $1,778.28 / $2,570.40	Professional		$1,230.27	$1,778.28	$2,570.40