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 $2,454.71 / $2,754.23 / $3,715.35	Professional		$2,454.71	$2,754.23	$3,715.35
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 $2,041.74 / $2,398.83 / $3,630.78	Professional		$2,041.74	$2,398.83	$3,630.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,548.13 / $4,168.69	Facility		$2,398.83	$3,548.13	$4,168.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,630.78 / $4,265.80	Professional		$2,570.40	$3,630.78	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,786.30 / $4,786.30	Facility		$34.67	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $13,182.57	Professional		$2,630.27	$3,981.07	$13,182.57
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 $2,344.23 / $3,162.28 / $4,786.30	Professional		$2,344.23	$3,162.28	$4,786.30