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 $2,089.30 / $2,398.83 / $3,162.28	Professional		$2,089.30	$2,398.83	$3,162.28
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 / $1,737.80 / $2,818.38	Professional		$1,479.11	$1,737.80	$2,818.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $3,162.28	Facility		$1,862.09	$2,691.53	$3,162.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $3,235.94	Professional		$1,905.46	$2,754.23	$3,235.94
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 $1,621.81 / $2,137.96 / $4,265.80	Professional		$1,621.81	$2,137.96	$4,265.80