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 $2,511.89 / $3,019.95 / $3,981.07	Professional		$2,511.89	$3,019.95	$3,981.07
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 / $3,890.45	Professional		$2,187.76	$2,570.40	$3,890.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $4,466.84	Facility		$2,630.27	$3,801.89	$4,466.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $4,570.88	Professional		$2,570.40	$3,801.89	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,128.61 / $5,128.61	Facility		$34.67	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $14,454.40	Professional		$2,951.21	$4,365.16	$14,454.40
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 $2,398.83 / $3,467.37 / $5,248.07	Professional		$2,398.83	$3,467.37	$5,248.07