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 $1,202.26 / $1,412.54 / $2,454.71	Professional		$1,202.26	$1,412.54	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,715.19 / $11,220.18	Facility		$9,120.11	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,778.28	Professional		$1,174.90	$1,380.38	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,995.26	Facility		$1,148.15	$1,412.54	$1,995.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,949.84	Professional		$1,096.48	$1,513.56	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $2,238.72	Facility		$34.67	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $6,760.83	Professional		$1,288.25	$1,995.26	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
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 $1,230.27 / $1,778.28 / $2,691.53	Professional		$1,230.27	$1,778.28	$2,691.53