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 / $2,041.74 / $2,818.38	Professional		$1,778.28	$2,041.74	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,715.19 / $18,620.87	Facility		$9,332.54	$10,715.19	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,691.53	Professional		$1,621.81	$1,905.46	$2,691.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $3,019.95	Facility		$1,737.80	$2,511.89	$3,019.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,090.30	Professional		$2,041.74	$2,630.27	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,467.37 / $3,467.37	Facility		$34.67	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $10,715.19	Professional		$2,137.96	$3,235.94	$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 $1,778.28 / $2,511.89 / $3,801.89	Professional		$1,778.28	$2,511.89	$3,801.89