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 $2,137.96 / $2,454.71 / $3,235.94	Professional		$2,137.96	$2,454.71	$3,235.94
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 $1,479.11 / $1,778.28 / $2,884.03	Professional		$1,479.11	$1,778.28	$2,884.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $3,235.94	Facility		$1,905.46	$2,691.53	$3,235.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $3,311.31	Professional		$1,995.26	$2,818.38	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,630.78 / $3,630.78	Facility		$34.67	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $10,000.00	Professional		$1,778.28	$3,630.78	$10,000.00
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 / $2,137.96 / $4,265.80	Professional		$1,659.59	$2,137.96	$4,265.80