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 $1,412.54 / $1,621.81 / $2,089.30	Professional		$1,412.54	$1,621.81	$2,089.30
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 $1,174.90 / $1,380.38 / $2,089.30	Professional		$1,174.90	$1,380.38	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,398.83	Facility		$1,380.38	$2,041.74	$2,398.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,454.71	Professional		$1,445.44	$2,089.30	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,754.23 / $2,754.23	Facility		$34.67	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $8,511.38	Professional		$1,548.82	$2,511.89	$8,511.38
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 $1,348.96 / $1,862.09 / $3,019.95	Professional		$1,348.96	$1,862.09	$3,019.95