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 $1,071.52 / $1,288.25 / $1,548.82	Professional		$1,071.52	$1,288.25	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $10,715.19 / $13,182.57	Facility		$8,128.31	$10,715.19	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,621.81	Professional		$1,047.13	$1,230.27	$1,621.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,698.24	Facility		$1,023.29	$1,445.44	$1,698.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $1,737.80	Professional		$954.99	$1,479.11	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,949.84 / $1,949.84	Facility		$34.67	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $6,918.31	Professional		$1,174.90	$1,862.09	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,238.72	Professional		$1,047.13	$1,513.56	$2,238.72