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 $1,318.26 / $1,548.82 / $2,570.40	Professional		$1,318.26	$1,548.82	$2,570.40
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 $1,023.29 / $1,202.26 / $1,862.09	Professional		$1,023.29	$1,202.26	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,187.76	Facility		$1,258.93	$1,548.82	$2,187.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,187.76	Professional		$1,230.27	$1,698.24	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,511.89 / $2,511.89	Facility		$34.67	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $7,585.78	Professional		$1,348.96	$1,949.84	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
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 $1,258.93 / $1,659.59 / $2,691.53	Professional		$1,258.93	$1,659.59	$2,691.53