Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,311.31 / $8,511.38	Facility		$851.14	$3,311.31	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $5,495.41	Professional		$3,548.13	$4,265.80	$5,495.41
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 $3,019.95 / $3,630.78 / $5,370.32	Professional		$3,019.95	$3,630.78	$5,370.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,248.07 / $6,165.95	Facility		$3,630.78	$5,248.07	$6,165.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,370.32 / $6,309.57	Professional		$3,801.89	$5,370.32	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $6,165.95 / $7,079.46	Facility		$34.67	$6,165.95	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,309.57 / $19,952.62	Professional		$3,981.07	$6,309.57	$19,952.62
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 $3,548.13 / $4,786.30 / $7,244.36	Professional		$3,548.13	$4,786.30	$7,244.36