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 $1,288.25 / $1,412.54 / $1,862.09	Professional		$1,288.25	$1,412.54	$1,862.09
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 $1,122.02 / $1,318.26 / $1,819.70	Professional		$1,122.02	$1,318.26	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $1,862.09	Facility		$1,096.48	$1,548.82	$1,862.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $1,905.46	Professional		$1,148.15	$1,621.81	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,137.96 / $2,137.96	Facility		$34.67	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $6,918.31	Professional		$1,445.44	$2,290.87	$6,918.31
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 / $2,511.89	Professional		$1,230.27	$1,778.28	$2,511.89