Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,238.72 / $8,511.38	Facility		$851.14	$2,238.72	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $3,019.95	Professional		$1,659.59	$1,862.09	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,549.93 / $11,220.18	Facility		$5,128.61	$9,549.93	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,511.89	Professional		$1,513.56	$1,778.28	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,691.53	Facility		$1,548.82	$1,905.46	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,691.53	Professional		$1,479.11	$2,089.30	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,090.30 / $3,090.30	Facility		$34.67	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $10,715.19	Professional		$1,737.80	$2,630.27	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,258.93	Professional		$32.36	$33.11	$1,258.93
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 $1,659.59 / $2,187.76 / $3,548.13	Professional		$1,659.59	$2,187.76	$3,548.13