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 $1,659.59 / $1,862.09 / $2,754.23	Professional		$1,659.59	$1,862.09	$2,754.23
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 $1,621.81 / $1,905.46 / $2,630.27	Professional		$1,621.81	$1,905.46	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,630.27	Facility		$1,584.89	$2,187.76	$2,630.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,691.53	Professional		$1,621.81	$2,290.87	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,951.21 / $3,019.95	Facility		$34.67	$2,951.21	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,019.95 / $10,715.19	Professional		$1,737.80	$3,019.95	$10,715.19
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 $1,548.82 / $2,344.23 / $3,311.31	Professional		$1,548.82	$2,344.23	$3,311.31