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 $1,513.56 / $1,737.80 / $2,570.40	Professional		$1,513.56	$1,737.80	$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 $1,445.44 / $1,737.80 / $2,344.23	Professional		$1,445.44	$1,737.80	$2,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,398.83	Facility		$1,445.44	$2,041.74	$2,398.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,454.71	Professional		$1,621.81	$2,089.30	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,754.23 / $2,754.23	Facility		$34.67	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $9,772.37	Professional		$1,659.59	$2,691.53	$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 $1,412.54 / $2,137.96 / $3,019.95	Professional		$1,412.54	$2,137.96	$3,019.95