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 $1,737.80 / $1,995.26 / $2,511.89	Professional		$1,737.80	$1,995.26	$2,511.89
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 $1,513.56 / $1,778.28 / $2,570.40	Professional		$1,513.56	$1,778.28	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $2,951.21	Facility		$1,698.24	$2,511.89	$2,951.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,019.95	Professional		$1,995.26	$2,570.40	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,388.44 / $3,388.44	Facility		$34.67	$3,388.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $10,232.93	Professional		$1,995.26	$3,019.95	$10,232.93
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 $1,698.24 / $2,290.87 / $3,467.37	Professional		$1,698.24	$2,290.87	$3,467.37