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 $1,479.11 / $1,659.59 / $2,187.76	Professional		$1,479.11	$1,659.59	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,471.29 / $11,220.18	Facility		$5,888.44	$10,471.29	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,089.30	Professional		$1,288.25	$1,513.56	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,137.96	Facility		$1,258.93	$1,819.70	$2,137.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,187.76	Professional		$1,479.11	$1,862.09	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $2,454.71	Facility		$34.67	$2,238.72	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $9,120.11	Professional		$1,659.59	$2,691.53	$9,120.11
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 $1,412.54 / $2,041.74 / $2,951.21	Professional		$1,412.54	$2,041.74	$2,951.21