Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,137.96 / $8,511.38	Facility		$851.14	$2,137.96	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,884.03	Professional		$1,548.82	$1,819.70	$2,884.03
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 $1,412.54 / $1,659.59 / $2,290.87	Professional		$1,412.54	$1,659.59	$2,290.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,630.27	Facility		$1,513.56	$1,862.09	$2,630.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,570.40	Professional		$1,479.11	$2,041.74	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,951.21 / $2,951.21	Facility		$34.67	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $9,549.93	Professional		$1,698.24	$2,398.83	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
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 $1,513.56 / $2,041.74 / $3,235.94	Professional		$1,513.56	$2,041.74	$3,235.94