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 $1,445.44 / $1,698.24 / $2,290.87	Professional		$1,445.44	$1,698.24	$2,290.87
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 $1,318.26 / $1,548.82 / $2,187.76	Professional		$1,318.26	$1,548.82	$2,187.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,511.89	Facility		$1,445.44	$2,089.30	$2,511.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $2,511.89	Professional		$1,412.54	$2,089.30	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,818.38 / $2,818.38	Facility		$34.67	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $8,709.64	Professional		$1,659.59	$2,511.89	$8,709.64
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 $1,479.11 / $1,995.26 / $3,162.28	Professional		$1,479.11	$1,995.26	$3,162.28