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 $1,659.59 / $1,949.84 / $2,630.27	Professional		$1,659.59	$1,949.84	$2,630.27
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 $1,548.82 / $1,819.70 / $2,630.27	Professional		$1,548.82	$1,819.70	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $2,818.38	Facility		$1,659.59	$2,398.83	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,884.03	Professional		$1,778.28	$2,454.71	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,235.94 / $3,235.94	Facility		$34.67	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $10,000.00	Professional		$1,905.46	$3,090.30	$10,000.00
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 / $2,344.23 / $3,630.78	Professional		$1,698.24	$2,344.23	$3,630.78