Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,265.80 / $8,511.38	Facility		$851.14	$4,265.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $7,244.36	Professional		$3,890.45	$4,570.88	$7,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,715.19 / $15,135.61	Facility		$8,511.38	$10,715.19	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $5,011.87	Professional		$2,951.21	$3,715.35	$5,011.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,677.35 / $6,606.93	Facility		$3,801.89	$4,677.35	$6,606.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,128.61 / $6,760.83	Professional		$3,630.78	$5,128.61	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $7,413.10 / $7,413.10	Facility		$34.67	$7,413.10	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,025.60 / $20,417.38	Professional		$3,162.28	$6,025.60	$20,417.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $4,365.16	Professional		$32.36	$33.11	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,168.69 / $30,199.52	Facility		$407.38	$4,168.69	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,128.61 / $8,317.64	Professional		$3,467.37	$5,128.61	$8,317.64