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 $1,122.02 / $1,318.26 / $2,089.30	Professional		$1,122.02	$1,318.26	$2,089.30
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 $831.76 / $977.24 / $1,548.82	Professional		$831.76	$977.24	$1,548.82
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 $1,071.52 / $1,412.54 / $1,949.84	Professional		$1,071.52	$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 $1,148.15 / $1,698.24 / $6,165.95	Professional		$1,148.15	$1,698.24	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
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 $1,096.48 / $1,445.44 / $2,290.87	Professional		$1,096.48	$1,445.44	$2,290.87