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 $1,584.89 / $1,905.46 / $2,511.89	Professional		$1,584.89	$1,905.46	$2,511.89
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 $1,513.56 / $1,778.28 / $2,511.89	Professional		$1,513.56	$1,778.28	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,398.83	Facility		$1,412.54	$2,041.74	$2,398.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,454.71	Professional		$1,621.81	$2,089.30	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,754.23 / $2,754.23	Facility		$34.67	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $10,471.29	Professional		$1,995.26	$3,235.94	$10,471.29
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 $1,621.81 / $2,344.23 / $3,467.37	Professional		$1,621.81	$2,344.23	$3,467.37