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 $1,698.24 / $2,041.74 / $3,311.31	Professional		$1,698.24	$2,041.74	$3,311.31
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 $1,288.25 / $1,513.56 / $2,398.83	Professional		$1,288.25	$1,513.56	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $2,951.21	Facility		$1,737.80	$2,137.96	$2,951.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,019.95	Professional		$1,778.28	$2,290.87	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,388.44 / $3,388.44	Facility		$34.67	$3,388.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $9,332.54	Professional		$1,737.80	$2,570.40	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,995.26	Professional		$32.36	$33.11	$1,995.26
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 / $2,238.72 / $3,467.37	Professional		$1,659.59	$2,238.72	$3,467.37