Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,786.30 / $8,511.38	Facility		$851.14	$4,786.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $8,128.31	Professional		$4,365.16	$5,128.61	$8,128.31
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 / $4,265.80 / $5,754.40	Professional		$2,951.21	$4,265.80	$5,754.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $7,413.10	Facility		$4,265.80	$5,248.07	$7,413.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,623.41 / $7,244.36	Professional		$4,466.84	$5,623.41	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $8,317.64 / $8,317.64	Facility		$34.67	$8,317.64	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $6,606.93 / $22,908.68	Professional		$3,467.37	$6,606.93	$22,908.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,737.80	Professional		$32.36	$33.11	$1,737.80
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 $3,890.45 / $5,754.40 / $9,549.93	Professional		$3,890.45	$5,754.40	$9,549.93