Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $3,162.28 / $13,803.84	Facility		$112.20	$3,162.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $1,548.82 / $2,884.03	Professional		$77.62	$1,548.82	$2,884.03
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 $58.88 / $151.36 / $2,137.96	Professional		$58.88	$151.36	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $131.83	Facility		$75.86	$100.00	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $131.83	Professional		$72.44	$102.33	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $147.91 / $147.91	Facility		$34.67	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $2,089.30 / $10,000.00	Professional		$83.18	$2,089.30	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,187.76	Professional		$32.36	$33.11	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,511.89 / $10,000.00	Facility		$812.83	$2,511.89	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $1,122.02 / $3,715.35	Professional		$75.86	$1,122.02	$3,715.35