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 $1,995.26 / $2,398.83 / $2,818.38	Professional		$1,995.26	$2,398.83	$2,818.38
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 $1,905.46 / $2,290.87 / $3,019.95	Professional		$1,905.46	$2,290.87	$3,019.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,162.28	Facility		$1,905.46	$2,630.27	$3,162.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $3,235.94	Professional		$1,905.46	$2,754.23	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,162.28 / $3,548.13	Facility		$34.67	$3,162.28	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $12,589.25	Professional		$2,041.74	$3,548.13	$12,589.25
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 $1,949.84 / $2,818.38 / $4,168.69	Professional		$1,949.84	$2,818.38	$4,168.69