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 $2,344.23 / $2,691.53 / $3,715.35	Professional		$2,344.23	$2,691.53	$3,715.35
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 $1,862.09 / $2,187.76 / $3,467.37	Professional		$1,862.09	$2,187.76	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $3,981.07	Facility		$2,290.87	$3,388.44	$3,981.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $4,073.80	Professional		$2,238.72	$3,467.37	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,265.80 / $4,570.88	Facility		$34.67	$4,265.80	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,365.16 / $12,589.25	Professional		$2,511.89	$4,365.16	$12,589.25
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 $2,290.87 / $3,162.28 / $5,128.61	Professional		$2,290.87	$3,162.28	$5,128.61