Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,715.35 / $8,511.38	Facility		$851.14	$3,715.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $6,456.54	Professional		$3,981.07	$4,677.35	$6,456.54
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 $3,162.28 / $3,715.35 / $6,025.60	Professional		$3,162.28	$3,715.35	$6,025.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,888.44 / $6,918.31	Facility		$3,981.07	$5,888.44	$6,918.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,025.60 / $7,079.46	Professional		$4,677.35	$6,025.60	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,248.07 / $7,943.28	Facility		$34.67	$5,248.07	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $7,585.78 / $21,877.62	Professional		$4,365.16	$7,585.78	$21,877.62
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 $3,981.07 / $5,623.41 / $8,912.51	Professional		$3,981.07	$5,623.41	$8,912.51