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 $1,778.28 / $2,137.96 / $2,570.40	Professional		$1,778.28	$2,137.96	$2,570.40
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 / $2,041.74 / $2,630.27	Professional		$1,698.24	$2,041.74	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $2,818.38	Facility		$1,698.24	$2,398.83	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $2,884.03	Professional		$1,698.24	$2,454.71	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,630.27 / $3,235.94	Facility		$34.67	$2,630.27	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $11,220.18	Professional		$1,819.70	$3,162.28	$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 $1,737.80 / $2,511.89 / $3,715.35	Professional		$1,737.80	$2,511.89	$3,715.35