Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,630.27 / $8,511.38	Facility		$794.33	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,238.72	Professional		$1,148.15	$1,348.96	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $15,135.61	Facility		$8,912.51	$10,715.19	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,698.24	Professional		$1,047.13	$1,230.27	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,905.46	Facility		$1,096.48	$1,348.96	$1,905.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,949.84	Professional		$1,122.02	$1,412.54	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,187.76 / $2,187.76	Facility		$34.67	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $6,456.54	Professional		$1,230.27	$1,778.28	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,862.09 / $19,498.45	Facility		$630.96	$1,862.09	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,344.23	Professional		$1,122.02	$1,479.11	$2,344.23