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 $1,862.09 / $2,187.76 / $4,073.80	Professional		$1,862.09	$2,187.76	$4,073.80
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 $1,659.59 / $1,995.26 / $2,884.03	Professional		$1,659.59	$1,995.26	$2,884.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $3,467.37	Facility		$1,862.09	$2,691.53	$3,467.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $3,235.94	Professional		$1,949.84	$2,691.53	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,630.78 / $3,630.78	Facility		$34.67	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $10,964.78	Professional		$2,187.76	$3,630.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
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 $1,819.70 / $2,570.40 / $3,981.07	Professional		$1,819.70	$2,570.40	$3,981.07