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 $1,621.81 / $1,949.84 / $3,548.13	Professional		$1,621.81	$1,949.84	$3,548.13
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 / $1,819.70 / $2,454.71	Professional		$1,513.56	$1,819.70	$2,454.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $3,090.30	Facility		$1,659.59	$2,398.83	$3,090.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $2,951.21	Professional		$1,737.80	$2,398.83	$2,951.21
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 $1,995.26 / $3,162.28 / $10,232.93	Professional		$1,995.26	$3,162.28	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
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 $1,621.81 / $2,238.72 / $3,388.44	Professional		$1,621.81	$2,238.72	$3,388.44