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 $2,187.76 / $2,511.89 / $3,311.31	Professional		$2,187.76	$2,511.89	$3,311.31
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 $1,412.54 / $1,819.70 / $2,884.03	Professional		$1,412.54	$1,819.70	$2,884.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $3,311.31	Facility		$1,949.84	$2,754.23	$3,311.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $3,388.44	Professional		$1,862.09	$2,884.03	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,801.89 / $3,801.89	Facility		$34.67	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,801.89 / $10,232.93	Professional		$1,584.89	$3,801.89	$10,232.93
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 $1,548.82 / $2,187.76 / $4,365.16	Professional		$1,548.82	$2,187.76	$4,365.16