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 $2,187.76 / $2,570.40 / $3,311.31	Professional		$2,187.76	$2,570.40	$3,311.31
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 $1,995.26 / $2,344.23 / $3,162.28	Professional		$1,995.26	$2,344.23	$3,162.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $3,235.94	Facility		$1,862.09	$2,691.53	$3,235.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $3,311.31	Professional		$1,995.26	$2,754.23	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,630.78 / $3,630.78	Facility		$34.67	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,265.80 / $13,803.84	Professional		$2,570.40	$4,265.80	$13,803.84
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 $2,187.76 / $3,162.28 / $4,570.88	Professional		$2,187.76	$3,162.28	$4,570.88