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 $2,137.96 / $2,570.40 / $3,311.31	Professional		$2,137.96	$2,570.40	$3,311.31
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 $2,187.76 / $2,570.40 / $3,388.44	Professional		$2,187.76	$2,570.40	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $3,630.78	Facility		$2,187.76	$3,019.95	$3,630.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $3,715.35	Professional		$2,238.72	$3,162.28	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,073.80 / $4,073.80	Facility		$34.67	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $14,125.38	Professional		$2,630.27	$4,073.80	$14,125.38
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 $2,187.76 / $3,235.94 / $4,570.88	Professional		$2,187.76	$3,235.94	$4,570.88