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 $1,412.54 / $1,621.81 / $2,570.40	Professional		$1,412.54	$1,621.81	$2,570.40
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 $1,412.54 / $1,659.59 / $2,137.96	Professional		$1,412.54	$1,659.59	$2,137.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,290.87	Facility		$1,318.26	$1,621.81	$2,290.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,290.87	Professional		$1,288.25	$1,778.28	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,630.27 / $2,630.27	Facility		$34.67	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $7,943.28	Professional		$1,513.56	$2,398.83	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,548.82	Professional		$32.36	$33.11	$1,548.82
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 $1,412.54 / $2,041.74 / $3,090.30	Professional		$1,412.54	$2,041.74	$3,090.30