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 $1,949.84 / $2,290.87 / $2,754.23	Professional		$1,949.84	$2,290.87	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $11,220.18 / $11,748.98	Facility		$9,549.93	$11,220.18	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,630.27	Professional		$1,348.96	$1,621.81	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,019.95	Facility		$1,819.70	$2,570.40	$3,019.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $3,090.30	Professional		$1,862.09	$2,630.27	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,467.37 / $3,467.37	Facility		$34.67	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $9,772.37	Professional		$1,698.24	$3,019.95	$9,772.37
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 $1,659.59 / $2,398.83 / $3,890.45	Professional		$1,659.59	$2,398.83	$3,890.45