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 $2,570.40 / $3,019.95 / $5,495.41	Professional		$2,570.40	$3,019.95	$5,495.41
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 $2,187.76 / $2,691.53 / $3,890.45	Professional		$2,187.76	$2,691.53	$3,890.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $4,786.30	Facility		$2,570.40	$3,715.35	$4,786.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $4,570.88	Professional		$3,019.95	$3,715.35	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,128.61 / $5,128.61	Facility		$34.67	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,897.79 / $16,218.10	Professional		$3,019.95	$4,897.79	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
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 $2,454.71 / $3,467.37 / $5,370.32	Professional		$2,454.71	$3,467.37	$5,370.32