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 $2,290.87 / $2,630.27 / $3,467.37	Professional		$2,290.87	$2,630.27	$3,467.37
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 / $1,905.46 / $3,019.95	Professional		$1,513.56	$1,905.46	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $3,467.37	Facility		$2,041.74	$2,951.21	$3,467.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $3,548.13	Professional		$1,949.84	$3,019.95	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,981.07 / $3,981.07	Facility		$34.67	$3,981.07	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,981.07 / $10,964.78	Professional		$1,659.59	$3,981.07	$10,964.78
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 $1,659.59 / $2,344.23 / $4,570.88	Professional		$1,659.59	$2,344.23	$4,570.88