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 $1,148.15 / $1,380.38 / $1,621.81	Professional		$1,148.15	$1,380.38	$1,621.81
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 / $1,288.25 / $1,659.59	Professional		$1,047.13	$1,288.25	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,819.70	Facility		$1,096.48	$1,513.56	$1,819.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,862.09	Professional		$1,122.02	$1,548.82	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,862.09 / $2,041.74	Facility		$34.67	$1,862.09	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $7,413.10	Professional		$1,202.26	$2,041.74	$7,413.10
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 $1,071.52 / $1,584.89 / $2,344.23	Professional		$1,071.52	$1,584.89	$2,344.23