Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,630.78 / $8,511.38	Facility		$851.14	$3,630.78	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $6,309.57	Professional		$3,388.44	$3,890.45	$6,309.57
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 $2,454.71 / $3,090.30 / $4,265.80	Professional		$2,454.71	$3,090.30	$4,265.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $5,623.41	Facility		$3,235.94	$3,981.07	$5,623.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,365.16 / $5,754.40	Professional		$3,090.30	$4,365.16	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $6,456.54 / $6,456.54	Facility		$34.67	$6,456.54	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $17,378.01	Professional		$2,691.53	$5,011.87	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
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 $2,951.21 / $4,365.16 / $7,244.36	Professional		$2,951.21	$4,365.16	$7,244.36