Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,290.87 / $8,511.38	Facility		$851.14	$2,290.87	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $3,235.94	Professional		$1,737.80	$1,949.84	$3,235.94
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 / $2,570.40	Professional		$1,513.56	$1,778.28	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,754.23	Facility		$1,621.81	$1,995.26	$2,754.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,754.23	Professional		$1,584.89	$2,137.96	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,162.28 / $3,162.28	Facility		$34.67	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $10,471.29	Professional		$1,819.70	$2,691.53	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,819.70	Professional		$32.36	$33.11	$1,819.70
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 $1,698.24 / $2,290.87 / $3,630.78	Professional		$1,698.24	$2,290.87	$3,630.78