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 $1,905.46 / $2,238.72 / $3,019.95	Professional		$1,905.46	$2,238.72	$3,019.95
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 / $2,951.21	Professional		$1,862.09	$2,187.76	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $3,235.94	Facility		$1,905.46	$2,754.23	$3,235.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $3,388.44	Professional		$2,238.72	$2,818.38	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,715.35 / $3,715.35	Facility		$34.67	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,715.35 / $12,589.25	Professional		$2,290.87	$3,715.35	$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 $1,949.84 / $2,754.23 / $4,168.69	Professional		$1,949.84	$2,754.23	$4,168.69