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 $1,047.13 / $1,174.90 / $1,737.80	Professional		$1,047.13	$1,174.90	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $10,715.19 / $11,220.18	Facility		$6,456.54	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,584.89	Professional		$1,000.00	$1,202.26	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,621.81	Facility		$1,000.00	$1,380.38	$1,621.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $1,659.59	Professional		$912.01	$1,412.54	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,862.09 / $1,862.09	Facility		$34.67	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $6,606.93	Professional		$1,122.02	$1,862.09	$6,606.93
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 $954.99 / $1,445.44 / $2,089.30	Professional		$954.99	$1,445.44	$2,089.30