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 $2,041.74 / $2,344.23 / $3,235.94	Professional		$2,041.74	$2,344.23	$3,235.94
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 $1,905.46 / $2,238.72 / $3,090.30	Professional		$1,905.46	$2,238.72	$3,090.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $3,467.37	Facility		$1,995.26	$2,951.21	$3,467.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $3,548.13	Professional		$2,089.30	$3,019.95	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,981.07 / $3,981.07	Facility		$34.67	$3,981.07	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,801.89 / $12,882.50	Professional		$2,398.83	$3,801.89	$12,882.50
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 $2,089.30 / $2,884.03 / $4,365.16	Professional		$2,089.30	$2,884.03	$4,365.16