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 $1,659.59 / $1,905.46 / $2,570.40	Professional		$1,659.59	$1,905.46	$2,570.40
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 $1,513.56 / $1,778.28 / $2,511.89	Professional		$1,513.56	$1,778.28	$2,511.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $2,818.38	Facility		$1,621.81	$2,344.23	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $2,884.03	Professional		$1,584.89	$2,454.71	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,235.94 / $3,235.94	Facility		$34.67	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $9,772.37	Professional		$1,995.26	$2,951.21	$9,772.37
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 $1,659.59 / $2,290.87 / $3,548.13	Professional		$1,659.59	$2,290.87	$3,548.13