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 $2,238.72 / $2,630.27 / $4,677.35	Professional		$2,238.72	$2,630.27	$4,677.35
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 $2,089.30 / $2,570.40 / $3,467.37	Professional		$2,089.30	$2,570.40	$3,467.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $4,265.80	Facility		$2,238.72	$3,311.31	$4,265.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,073.80	Professional		$2,398.83	$3,162.28	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,466.84 / $4,466.84	Facility		$34.67	$4,466.84	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $14,454.40	Professional		$2,754.23	$4,365.16	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
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 $2,187.76 / $3,090.30 / $4,677.35	Professional		$2,187.76	$3,090.30	$4,677.35