Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,388.44 / $8,511.38	Facility		$851.14	$3,388.44	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $5,754.40	Professional		$3,162.28	$3,630.78	$5,754.40
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 $2,344.23 / $2,754.23 / $4,466.84	Professional		$2,344.23	$2,754.23	$4,466.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $5,248.07	Facility		$3,090.30	$3,801.89	$5,248.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $5,248.07	Professional		$2,951.21	$3,890.45	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $6,025.60 / $6,025.60	Facility		$34.67	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,677.35 / $26,302.68	Professional		$3,162.28	$4,677.35	$26,302.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,467.37	Professional		$32.36	$33.11	$3,467.37
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 $3,090.30 / $4,073.80 / $6,309.57	Professional		$3,090.30	$4,073.80	$6,309.57