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 $1,202.26 / $1,412.54 / $1,862.09	Professional		$1,202.26	$1,412.54	$1,862.09
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 $1,023.29 / $1,202.26 / $1,819.70	Professional		$1,023.29	$1,202.26	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $1,819.70	Facility		$1,071.52	$1,548.82	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,862.09	Professional		$1,122.02	$1,584.89	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,089.30 / $2,089.30	Facility		$34.67	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,398.83 / $7,762.47	Professional		$1,380.38	$2,398.83	$7,762.47
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