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 $2,570.40 / $3,019.95 / $4,677.35	Professional		$2,570.40	$3,019.95	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,715.19 / $11,220.18	Facility		$6,606.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $3,801.89	Professional		$2,344.23	$2,754.23	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $4,365.16	Facility		$2,511.89	$3,090.30	$4,365.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $4,265.80	Professional		$2,398.83	$3,311.31	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,897.79 / $4,897.79	Facility		$34.67	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,981.07 / $15,848.93	Professional		$2,754.23	$3,981.07	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,818.38	Professional		$32.36	$33.11	$2,818.38
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 $2,570.40 / $3,388.44 / $5,370.32	Professional		$2,570.40	$3,388.44	$5,370.32