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 / $2,089.30 / $2,454.71	Professional		$1,698.24	$2,089.30	$2,454.71
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 $1,698.24 / $1,995.26 / $2,630.27	Professional		$1,698.24	$1,995.26	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,691.53	Facility		$1,621.81	$2,290.87	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $2,754.23	Professional		$1,621.81	$2,344.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,090.30 / $3,090.30	Facility		$34.67	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $10,964.78	Professional		$1,862.09	$3,019.95	$10,964.78
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