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 $1,698.24 / $2,041.74 / $2,398.83	Professional		$1,698.24	$2,041.74	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $10,715.19 / $11,220.18	Facility		$6,456.54	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,691.53	Professional		$1,659.59	$1,949.84	$2,691.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $2,691.53	Facility		$1,621.81	$2,238.72	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,754.23	Professional		$1,659.59	$2,344.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,754.23 / $3,090.30	Facility		$34.67	$2,754.23	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $11,220.18	Professional		$1,819.70	$3,019.95	$11,220.18
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 / $3,548.13	Professional		$1,659.59	$2,398.83	$3,548.13